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<body lang=EN-US link=blue vlink=purple style='tab-interval:.5in'>

<div class=Section1>

<p class=xml><span style='font-family:Arial'><img width=281 height=87
id="_x0000_i1025" src="Enrollment_files/image001.jpg">&nbsp;&nbsp; </span></p>

<p class=MsoTitle>Benefits Enrollment </p>

<p class=MsoTitle>Recommendation, 2007 April 15</p>

<p class=heading3preface style='margin-top:6.0pt'>Editors:</p>

<p class=prefacetext>Suneel Mendiratta, Employease</p>

<p class=prefacetext>Kelly Cohen, Hewitt Associates</p>

<p class=prefacetext><span lang=DE style='mso-ansi-language:DE'>Kim Bartkus, HR-XML
Consortium </span></p>

<p class=heading3preface style='margin-top:6.0pt'><span lang=DE
style='mso-ansi-language:DE'>Schema Editors:</span></p>

<p class=prefacetext><span lang=DE style='mso-ansi-language:DE'>Dan Diman,
eBenX</span></p>

<p class=prefacetext><span lang=DE style='mso-ansi-language:DE'>Kim Bartkus,
HR-XML Consortium</span></p>

<p class=heading3preface style='margin-top:6.0pt'>Contributors:</p>

<p class=prefacetext>Members of the Benefits Enrollment workgroup</p>

<p class=heading3preface style='margin-top:6.0pt'><span class=GramE>Copyright
&copy; 2007, HR-XML Consortium, Inc.</span>&nbsp; </p>

<div style='border:none;border-top:double windowtext 2.25pt;padding:24.0pt 0in 0in 0in'>

<p class=heading2preface style='margin-top:12.0pt'>Abstract</p>

</div>

<p class=MsoPlainText style='margin-top:6.0pt;margin-right:0in;margin-bottom:
6.0pt;margin-left:0in'><span style='font-family:Arial'>This document describes
an XML Schema that supports the transfer of benefits enrollment data between
organizations (for example, a benefits administrator and an insurance
carrier).&nbsp; This schema is part of the HR-XML Consortium effort to define
an XML vocabulary to support business transactions in the Human Resource domain.</span></p>

<p class=heading2preface style='margin-top:12.0pt;margin-right:0in;margin-bottom:
0in;margin-left:0in;margin-bottom:.0001pt'>&nbsp;</p>

<p class=heading2preface style='margin-top:12.0pt;margin-right:0in;margin-bottom:
0in;margin-left:0in;margin-bottom:.0001pt'>Table of Contents</p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531586">1<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>Overview<span style='color:windowtext;display:none;mso-hide:all'>.. 4</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531587">1.1<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Objective<span style='color:windowtext;display:none;mso-hide:all'>. 4</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531588">1.1.1<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Changes in This Version<span style='color:windowtext;display:none;
mso-hide:all'>. 4</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531589">1.1.2<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Domain Issues<span style='color:windowtext;display:none;mso-hide:all'>.
5</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531590">1.1.3<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Business Reasons<span style='color:windowtext;display:none;mso-hide:
all'>. 5</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531591">1.2<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Scope<span style='color:windowtext;display:none;mso-hide:all'>. 6</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531592">1.2.1<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Major Components<span style='color:windowtext;display:none;mso-hide:
all'>. 6</span></a></span></p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531593">2<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>Supported Business Processes<span style='color:windowtext;display:none;
mso-hide:all'>. 6</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531594">2.1<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Trading Partner Roles<span style='color:windowtext;display:none;
mso-hide:all'>. 6</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531595">2.2<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Business Process Name<span style='color:windowtext;display:none;
mso-hide:all'>. 7</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531596">2.2.1<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Summary<span style='color:windowtext;display:none;mso-hide:all'>. 7</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531597">2.2.2<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Use Case Scenarios<span style='color:windowtext;display:none;mso-hide:
all'>. 7</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531598">2.2.3<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Diagrams<span style='color:windowtext;display:none;mso-hide:all'>. 7</span></a></span></p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531599">3<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>Schema Design<span style='color:windowtext;display:none;mso-hide:all'>.
9</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531600">3.1<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Component Schemas<span style='color:windowtext;display:none;mso-hide:
all'>. 9</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531601">3.2<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Overview<span style='color:windowtext;display:none;mso-hide:all'>.. 10</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531602">3.3<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Enrollment Element<span style='color:windowtext;display:none;
mso-hide:all'> 11</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531603">3.4<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The BenefitsAdiminstrativeAffiliate Element<span style='color:windowtext;
display:none;mso-hide:all'> 14</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531604">3.5<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Subscriber Element<span style='color:windowtext;display:none;
mso-hide:all'> 15</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531605">3.6<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Global Types<span style='color:windowtext;display:none;mso-hide:all'>.
18</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531606">3.6.1<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Coordination of Benefits Info Global Type<span style='color:windowtext;
display:none;mso-hide:all'>. 18</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531607">3.6.2<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Dependent Data Global Type<span style='color:windowtext;display:
none;mso-hide:all'>. 19</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531608">3.6.3<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Coverage Global Type<span style='color:windowtext;display:none;
mso-hide:all'>. 23</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531609">3.6.4<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The USTierCoverage Global Type<span style='color:windowtext;display:
none;mso-hide:all'>. 24</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531610">3.6.5<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The USSpendingAccountCoverage Global Type<span style='color:windowtext;
display:none;mso-hide:all'>. 33</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531611">3.6.6<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The USRateBasedCoverage Global Type<span style='color:windowtext;
display:none;mso-hide:all'>. 38</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531612">3.6.7<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The EmploymentData Global Type<span style='color:windowtext;display:
none;mso-hide:all'>. 44</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531613">3.6.8<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The MedicareData Global Type<span style='color:windowtext;display:none;
mso-hide:all'>. 47</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531614">3.6.8.1<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp; </span>MedicarePartA<span
style='color:windowtext;display:none;mso-hide:all'>.. 49</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531615">3.6.8.2<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp; </span>MedicarePartB<span
style='color:windowtext;display:none;mso-hide:all'>.. 49</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531616">3.6.8.3<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp; </span>MedicarePartD<span
style='color:windowtext;display:none;mso-hide:all'>.. 50</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531617">3.6.9<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The MedicaidData Global Type<span style='color:windowtext;display:none;
mso-hide:all'>. 50</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531618">3.6.10<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The
HIPAAData Global Type<span style='color:windowtext;display:none;mso-hide:all'>.
51</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531619">3.6.11<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The
PersonData Global Type<span style='color:windowtext;display:none;mso-hide:all'>.
51</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531620">3.6.12<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The
LanguageData Global Type<span style='color:windowtext;display:none;mso-hide:
all'>. 56</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531621">3.6.13<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The
CarrierData Global Type<span style='color:windowtext;display:none;mso-hide:
all'>. 57</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531622">3.6.14<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The
IdCardData Global Type<span style='color:windowtext;display:none;mso-hide:all'>.
57</span></a></span></p>

<p class=MsoToc3><span class=MsoHyperlink><a href="#_Toc151531623">3.6.15<span
style='font-size:12.0pt;color:windowtext'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The
SchoolData Global Type<span style='color:windowtext;display:none;mso-hide:all'>.
58</span></a></span></p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531624">4<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>Implementation Considerations<span style='color:windowtext;display:none;
mso-hide:all'>. 59</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531625">4.1<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Introduction<span style='color:windowtext;display:none;mso-hide:all'>.
59</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531626">4.2<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Update versus Replacement File Reporting<span style='color:windowtext;
display:none;mso-hide:all'>. 59</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531627">4.3<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Complete Family Reporting versus Individual Changes Only<span
style='color:windowtext;display:none;mso-hide:all'>. 60</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531628">4.4<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Correcting Person Identifier, Name and Demographic Data<span
style='color:windowtext;display:none;mso-hide:all'>. 60</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531629">4.5<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Coverage Level for Dependents<span style='color:windowtext;display:none;
mso-hide:all'>. 61</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531630">4.6<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>COBRA Eligible; Not Enrolled<span style='color:windowtext;display:none;
mso-hide:all'>. 61</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531631">4.7<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>COBRA Enrolled; Premium Not Paid<span style='color:windowtext;
display:none;mso-hide:all'>. 61</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531632">4.8<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>COBRA Enrolled; Premium Paid<span style='color:windowtext;display:none;
mso-hide:all'>. 61</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531633">4.9<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Receiving System Derives Group or Policy Numbers<span style='color:windowtext;
display:none;mso-hide:all'>. 62</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531634">4.10<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Coverage
Terminations<span style='color:windowtext;display:none;mso-hide:all'>. 62</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531635">4.11<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Split
Family Enrollment<span style='color:windowtext;display:none;mso-hide:all'> 62</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531636">4.12<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Originating
SSN for Surviving Dependents<span style='color:windowtext;display:none;
mso-hide:all'>. 63</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531637">4.13<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Spending
Account Enrollments<span style='color:windowtext;display:none;mso-hide:all'>.
63</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531638">4.14<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Healthcare
Spending Accounts (HSAs)<span style='color:windowtext;display:none;mso-hide:
all'> 63</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531639">4.15<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Dependent
Life Enrollments<span style='color:windowtext;display:none;mso-hide:all'>. 64</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531640">4.16<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Optional
Information &#8211; not known by source system<span style='color:windowtext;
display:none;mso-hide:all'>.. 64</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531641">4.17<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Required
Date Information &#8211; not known by source system<span style='color:windowtext;
display:none;mso-hide:all'>.. 64</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531642">4.18<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Current
vs. Historical Tier Coverage<span style='color:windowtext;display:none;
mso-hide:all'>. 64</span></a></span></p>

<p class=MsoToc2><span class=MsoHyperlink><a href="#_Toc151531643">4.19<span
style='font-size:12.0pt;color:windowtext;font-style:normal'>&nbsp;&nbsp;&nbsp; </span>Contact
Information Use<span style='color:windowtext;display:none;mso-hide:all'>. 64</span></a></span></p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531644">5<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix A - Document Version History<span style='color:windowtext;
display:none;mso-hide:all'>. 64</span></a></span></p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531645">6<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix B &#8211; Related Documents<span style='color:windowtext;
display:none;mso-hide:all'>. 66</span></a></span></p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531646">7<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix C - Business and Life Events<span style='color:windowtext;
display:none;mso-hide:all'>. 67</span></a></span></p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531647">8<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix D &#8211; Benefit Enrollment Glossary<span style='color:windowtext;
display:none;mso-hide:all'>. 70</span></a></span></p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531648">9<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix E &#8211; Component Enumerations<span style='color:windowtext;
display:none;mso-hide:all'>. 71</span></a></span></p>

<p class=MsoToc1><span class=MsoHyperlink><a href="#_Toc151531649">10<span
style='font-size:12.0pt;color:windowtext;font-weight:normal'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix F - Messaging Considerations<span style='color:windowtext;
display:none;mso-hide:all'>. 74</span></a></span></p>

<p class=MsoToc1>&nbsp;</p>

<h1 style='margin-top:12.0pt'><a name="_Ref118889393"></a><a
name="_Toc151531586"></a><span style='mso-bookmark:_Ref118889393'>1</span><span
style='mso-bookmark:_Ref118889393'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Overview</span><a
name="_Toc492656056"></a><a name="_Toc492655894"></a><a name="_Toc493472395"></a><a
name="_Toc493472734"></a><a name="_Toc493472396"></a><a name="_Toc493472735"></a><a
name="_Toc493472034"></a><a name="_Toc493472399"></a><a name="_Toc493472738"></a><a
name="_Toc493472400"></a><a name="_Toc493472739"></a><a name="_Toc493472401"></a><a
name="_Toc493472740"></a><a name="_Toc493472436"></a><a name="_Toc493472775"></a><a
name="_Toc493472437"></a><a name="_Toc493472776"></a><a name="_Toc492655893"></a><a
name="_Toc492656055"></a><a name="_Toc493472438"></a><a name="_Toc493472777"></a></h1>

<h2><a name="_Toc151531587">1.1</a><span style='mso-bookmark:_Toc151531587'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Objective</span></h2>

<p class=MsoNormal>This document describes HR-XML&#8217;s Enrollment schema,
which is designed to support the transfer of benefits enrollment data between
organizations (see Section 2, Supported Business Processes).&nbsp; A second
document, Enrollment Reference Examples (see Appendix B &#8211; Related
Documents), contains annotated examples illustrating how the specification can
be used.</p>

<p class=MsoNormal>The current specification is largely focused on employee
benefit plan enrollment scenarios within the <st1:country-region w:st="on"><st1:place
 w:st="on">United States</st1:place></st1:country-region>. Some initial steps
to localize US-only content have been taken in this version of the schema. As
demand dictates, the workgroup (working with relevant HR-XML chapters) will add
support for enrollment scenarios elsewhere in the <st1:country-region w:st="on">Americas</st1:country-region>,
Europe, <st1:country-region w:st="on"><st1:place w:st="on">Japan</st1:place></st1:country-region>,
or in other jurisdictions. The non-backwardly compatible changes for full
localization will be made as additional jurisdiction-specific content is
identified and added.</p>

<h3><a name="_Ref119316274"></a><a name="_Toc151531588"></a><a
name="_Ref119316279"></a><span style='mso-bookmark:_Ref119316274'>1.1.1</span><span
style='mso-bookmark:_Ref119316274'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Changes
in This Version</span></h3>

<p class=MsoNormal>This version of the HR-XML Enrollment specification includes
the following changes:</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.25in;text-indent:-.25in;text-autospace:none'>1.<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Gave names to certain anonymous types. This allows for better
modularization, reuse, and handling by class generation tools.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.25in;text-indent:-.25in;text-autospace:none'>2.<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Added &#8220;HSAVendor&#8221; element to &#8220;TierCoverage&#8221;.to
better support enrollments in Healthcare Spending Account (HSA) programs. <span
class=GramE>See Section 4.14, Healthcare Spending Accounts (HSAs) and Section
3.6.4, USTierCoverage Global Type.</span> &nbsp;HSAVendorType extends the
existing CarrierData data type.&nbsp; In addition to OrganizationName,
OrganizationCode, and ContactMethod available in CarrierData, the HSAVendorType
adds a UseDefaultAccountSponsor and a SignatureDate. The
UseDefaultAccountSponsor is a Boolean that may be used to indicate whether the
subscriber has elected the health plan&#8217;s default HSA vendor.
SignatureDate indicates that the benefits administrator has obtained and has on
<span class=GramE>file,</span> the beneficiary&#8217;s signed election of the
designated HSA vendor.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.25in;text-indent:-.25in;text-autospace:none'>3.<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Added &#8220;Health Reimbursement Account&#8221; to existing enumerated
SpendingAccountCoverage types.&nbsp; Existing enumerations were: FSA Health
Care and FSA Dependent Care.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.25in;text-indent:-.25in;text-autospace:none'>4.<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Added optional PlanStartDate and PlanEndDate elements under
SpendingAccountCoverage.&nbsp; These elements are intended to be used when
finer-grained<span class=GramE>&nbsp; &#8220;</span>plan year&#8221;
information is required. This might be necessary to handle special circumstances
such as when the plan year may be less than a full year.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.25in;text-indent:-.25in;text-autospace:none'>5.<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Within ContributionData, made the following changes:</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.25in;text-indent:-.25in;text-autospace:none'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Made GoalAmount element optional (not relevant for all spending account
coverage types)</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.25in;text-indent:-.25in;text-autospace:none'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Added optional StartDate (LocalDateType). This is the date on which
contribution changes become effective.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.25in;text-indent:-.25in;text-autospace:none'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Added optional FirstPayrollDate (LocalDateType).&nbsp; This would be an
indication of the first payroll date on which contributions would start.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.25in;text-indent:-.25in;text-autospace:none'>6.<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Added an optional AutoReimbursementIndicator element. This has<a
name="OLE_LINK3"></a><a name="OLE_LINK4"></a><span style='mso-bookmark:OLE_LINK3'>
enumerated values of &#8220;all&#8221;; &#8220;none&#8221;; and
&#8220;byClaim&#8221;.</span></p>

<h3><a name="_Toc151531589">1.1.2</a><span style='mso-bookmark:_Toc151531589'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Domain Issues</span></h3>

<p class=MsoNormal>Systems that store benefits enrollment data belong to many
different types of organizations.&nbsp; These systems may belong to employers,
third party administrators (TPAs), benefit suppliers/vendors, or other parties
involved in the administration or provision of benefits to employees or other
human resources.&nbsp; There exists significant variation in the capabilities,
the structural organization of data, and (beyond a certain core set) the
individual data elements stored in such systems.&nbsp; By solicitation of input
from a cross section of organizations which store benefits enrollment data, the
Benefits Enrollment schema aims to provide low barriers to adoption of this
standard for many disparate system types while providing a rich structure
capable of supporting complex transactions.</p>

<p class=MsoNormal>Benefits provided by organizations to their employees or
other human resources are of many types:&nbsp; medical insurance, flexible
spending accounts, life insurance, short term disability insurance, 401(k),
employee stock purchase and many others.&nbsp; Furthermore, the universe of
benefits is not static: it grows as new products enter the market.&nbsp; The
schema design must take these domain facts into account; the schema must be
easy to extend to new benefit types and must support a wide range of benefit
types.</p>

<p class=MsoNormal>Many underlying business events and situations affect the
enrollment of human resources in benefits.&nbsp; These events and situations
may originate with the individual (birth, marriage, death, change of address,
etc.), the organization (merger, location closure, new product offering, etc.)
or another entity (government regulation change, union certification, etc.).</p>

<h3><a name="_Toc151531590">1.1.3</a><span style='mso-bookmark:_Toc151531590'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Business Reasons</span></h3>

<p class=MsoNormal style='margin-left:.6in;text-indent:-.6in'>1.1.3.1<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Why should there be a standard?</p>

<p class=MsoNormal>The provision of benefits by employers to employees and
their dependents is a large industry and accounts for millions of
dollars.&nbsp; The communication of individuals enrolled in benefits and the
data which describe their enrollments determines how and when money changes
hands as well as ensures that subscribers get the services in which they have
enrolled when they need them.&nbsp; The workgroup envisions a day when
reliable, low-overhead electronic connections between plan sponsors, TPAs,
insurers, payers, and other trading partners allow cost savings for all parties
and improve the quality, cleanliness, and delivery time of enrollment
data.&nbsp; In turn, the accuracy of payments made for the provision of
benefits and the quality of the benefit experience for the subscriber is
improved.&nbsp; To that end, the workgroup advances an XML standard for the
exchange of enrollment information.&nbsp; Such a standard will facilitate the
creation of an environment where it is possible for trading partners to quickly
create durable, reliable electronic connections.&nbsp; Furthermore, work done
to create one trading partner connection is re-usable with subsequent trading
partners.&nbsp; These benefits translate into reduced cost to create a new
connection and reduced costs to maintain and run an existing connection.</p>

<p class=MsoNormal style='margin-left:.6in;text-indent:-.6in'>1.1.3.2<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>What do I have to gain as an employer/HRIS solution provider/benefits
provider from adopting this standard?</p>

<p class=MsoNormal>The goal of this standard is to make it possible for
adopters to use electronic media for the reliable, low cost transmission of
benefits enrollment data, and to commoditize electronic trading partner
connections.&nbsp; <span class=GramE>The value proposition of any such
electronic communication channel lies in how the trading partners use this
capability to improve the efficiency and capability of their shared business
processes.</span>&nbsp; To support this, the standard ensures consistency of
implementation across trading partners while still supporting the flexibility
that different types of trading partners might require to achieve their
business goals.&nbsp; The end result of this effort is reduced entry cost,
reduced maintenance cost, and greater consistency of implementation across
trading partners.</p>

<h2><a name="_Toc151531591"></a><a name="_Toc492656057"></a><a
name="_Toc492655895"></a><span style='mso-bookmark:_Toc151531591'>1.2</span><span
style='mso-bookmark:_Toc151531591'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Scope</span></h2>

<p class=MsoNormal>The Benefits Enrollment schema supports enrollment and
maintenance of human resources in tier-based coverage (such as medical, dental
and vision), spending accounts (more commonly known as flexible spending
accounts (FSA)), rate-based coverage (such as life, short term disability, and
long term disability) and stock purchase plan coverage. </p>

<p class=MsoNormal>The Benefits Enrollment team recognizes that the Benefits
Enrollment schema and the TierCoverage element in particular represent American
benefit enrollment models.&nbsp; As the Benefits Enrollment team recruits
international members, it plans to release subsequent versions with either a
modified TierCoverage element or multiple Coverage elements representing other
countries' benefit enrollment requirements.&nbsp; Until that time, the data type,
'USTierCoverage' best models American benefit enrollment requirements.</p>

<h3><a name="_Toc151531592">1.2.1</a><span style='mso-bookmark:_Toc151531592'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Major Components</span></h3>

<p class=MsoNormal>The major components of an enrollment transaction payload
are:</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:.75in;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Subscriber</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:.75in;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Dependent</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:.75in;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Coverage</p>

<h1><a name="_Toc151531593"></a><a name="_Ref118888890"></a><a
name="_Ref118888885"></a><a name="_Toc520537173"></a><a name="_Toc492656080"></a><a
name="_Toc492655918"></a><a name="_Toc493471746"></a><a name="_Toc493472043"></a><a
name="_Toc493472446"></a><a name="_Toc493472785"></a><a name="_Toc493471751"></a><a
name="_Toc493472048"></a><a name="_Toc493472451"></a><a name="_Toc493472790"></a><a
name="_Toc493471752"></a><a name="_Toc493472049"></a><a name="_Toc493472452"></a><a
name="_Toc493472791"></a><a name="_Toc493471754"></a><a name="_Toc493472051"></a><a
name="_Toc493472454"></a><a name="_Toc493472793"></a><a name="_Toc492655903"></a><a
name="_Toc492656065"></a><a name="_Toc492868751"></a><a name="_Toc492868858"></a><a
name="_Toc493463955"></a><a name="_Toc493471755"></a><a name="_Toc493472052"></a><a
name="_Toc493472455"></a><a name="_Toc493472794"></a><a name="_Toc492655904"></a><a
name="_Toc492656066"></a><a name="_Toc492868752"></a><a name="_Toc492868859"></a><a
name="_Toc493463956"></a><a name="_Toc493471756"></a><a name="_Toc493472053"></a><a
name="_Toc493472456"></a><a name="_Toc493472795"></a><a name="_Toc493471757"></a><a
name="_Toc493472054"></a><a name="_Toc493472457"></a><a name="_Toc493472796"></a><a
name="_Toc492655909"></a><a name="_Toc492656071"></a><a name="_Toc492868757"></a><a
name="_Toc492868864"></a><a name="_Toc493463961"></a><a name="_Toc493471761"></a><a
name="_Toc493472058"></a><a name="_Toc493472461"></a><a name="_Toc493472800"></a><a
name="_Toc492655914"></a><a name="_Toc492656076"></a><a name="_Toc492868762"></a><a
name="_Toc492868869"></a><a name="_Toc493463966"></a><a name="_Toc493471766"></a><a
name="_Toc493472063"></a><a name="_Toc493472466"></a><a name="_Toc493472805"></a><a
name="_Toc492655917"></a><a name="_Toc492656079"></a><a name="_Toc492868765"></a><a
name="_Toc492868872"></a><a name="_Toc493463969"></a><a name="_Toc493471769"></a><a
name="_Toc493472066"></a><a name="_Toc493472469"></a><a name="_Toc493472808"></a><a
name="_Toc493471782"></a><a name="_Toc493472079"></a><a name="_Toc493472482"></a><a
name="_Toc493472820"></a><a name="_Toc493463983"></a><a name="_Toc493471784"></a><a
name="_Toc493472081"></a><a name="_Toc493472484"></a><a name="_Toc493472822"></a><a
name="_Toc493471785"></a><a name="_Toc493472082"></a><a name="_Toc493472485"></a><a
name="_Toc493472823"></a><a name="_Toc493463987"></a><a name="_Toc493471786"></a><a
name="_Toc493472083"></a><a name="_Toc493472486"></a><a name="_Toc493472824"></a><a
name="_Toc493471794"></a><a name="_Toc493472091"></a><a name="_Toc493472494"></a><a
name="_Toc493472832"></a><a name="_Toc493471795"></a><a name="_Toc493472092"></a><a
name="_Toc493472495"></a><a name="_Toc493472833"></a><a name="_Toc493471796"></a><a
name="_Toc493472093"></a><a name="_Toc493472496"></a><a name="_Toc493472834"></a><a
name="_Toc492868799"></a><a name="_Toc492868906"></a><a name="_Toc493463999"></a><a
name="_Toc493471798"></a><a name="_Toc493472095"></a><a name="_Toc493472498"></a><a
name="_Toc493472836"></a><a name="_Toc493471799"></a><a name="_Toc493472096"></a><a
name="_Toc493472499"></a><a name="_Toc493472837"></a><a name="_Toc493471800"></a><a
name="_Toc493472097"></a><a name="_Toc493472500"></a><a name="_Toc493472838"></a><a
name="_Toc493471801"></a><a name="_Toc493472098"></a><a name="_Toc493472501"></a><a
name="_Toc493472839"></a>2<span style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Supported Business Processes</h1>

<h2><a name="_Toc151531594"></a><a name="_Toc520537175"></a><a
name="_Toc493471771"></a><a name="_Toc493472068"></a><a name="_Toc493472471"></a><a
name="_Toc493472810"></a><a name="_Toc493471772"></a><a name="_Toc493472069"></a><a
name="_Toc493472472"></a><a name="_Toc493472811"></a>2.1<span style='font-size:
7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Trading Partner Roles</h2>

<p class=MsoNormal>The Benefits Enrollment schema supports the exchange of
enrollment information between trading partners.&nbsp; Trading partners may be
large employers, HR software vendors, third party administrators, or insurance
carriers.</p>

<p class=MsoNormal>The role of the trading partner within the context of the
Benefits Enrollment schema is to communicate and/or receive benefit enrollment
information as it relates to a subscriber or dependent.&nbsp; </p>

<h2><a name="_Toc520537176"></a><a name="_Toc151531595"></a><span
style='mso-bookmark:_Toc520537176'>2.2</span><span style='mso-bookmark:_Toc520537176'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Business Process Name</span></h2>

<h3><a name="_Toc520537177"></a><a name="_Toc151531596"></a><span
style='mso-bookmark:_Toc520537177'>2.2.1</span><span style='mso-bookmark:_Toc520537177'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Summary</span></h3>

<p class=MsoNormal>The Benefits Enrollment schema supports the exchange of
enrollment information between trading partners.&nbsp; Typical uses of the
schema are described below and are depicted in the following diagram:</p>

<p class=MsoNormal style='margin-left:.25in;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span class=GramE>The</span> exchange of information between a large
employer and third party administrator to pass enrollment information for all
coverages across all carriers.</p>

<p class=MsoNormal style='margin-left:.25in;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span class=GramE>The</span> exchange of information between a large
employer (using HR software) and an insurance carrier to pass enrollment
information for that carrier/administrator.</p>

<p class=MsoNormal style='margin-left:.25in;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span class=GramE>The</span> exchange of information between a third
party administrator and an insurance carrier to pass single or multiple
employers&#8217; enrollment information for that carrier.</p>

<h3><a name="_Toc520537178"></a><a name="_Toc151531597"></a><span
style='mso-bookmark:_Toc520537178'>2.2.2</span><span style='mso-bookmark:_Toc520537178'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Use Case Scenarios</span></h3>

<p class=MsoNormal>Many employee life and business events and employer events
drive enrollment-related events.&nbsp; Version 2.1 of the Benefits Enrollment
schema supports the exchange of tier-based, spending account, and rate-based
enrollment information initiated by these events.&nbsp; Section 7 (Appendix C -
Business and Life Events) lists the specific events, categorized as enrollment
changes, personal life events, work life events, data changes, or
organizational events.</p>

<h3><a name="_Toc520537179"></a><a name="_Toc151531598"></a><span
style='mso-bookmark:_Toc520537179'>2.2.3</span><span style='mso-bookmark:_Toc520537179'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Diagrams</span> <a name="_Toc492655921"></a><a name="_Toc492656083"></a><a
name="_Toc492868771"></a><a name="_Toc492868878"></a><a name="_Toc493463975"></a><a
name="_Toc493471779"></a><a name="_Toc493472076"></a><a name="_Toc493472479"></a><a
name="_Toc493472818"></a><a name="_Toc493471780"></a><a name="_Toc493472077"></a><a
name="_Toc493472480"></a><a name="_Toc493472819"></a><a name="_Toc493472481"></a></h3>

<p class=xml><span style='font-family:Arial'>The marriage life event provides a
specific example for communicating enrollment-related information between
entities.&nbsp; This section describes the specific processes.&nbsp; The actual
XML examples are found in the Enrollment Reference Examples document (see
Appendix B &#8211; Related Documents). </span></p>

<p class=MsoNormal>Upon a marriage event, a Person elects to add his/her spouse
to medical coverage.&nbsp; The Person sends enrollment to the Employer&#8217;s
Human Resources department, Administrator, or Carrier.&nbsp; Any of these three
recipients can then inform the other two, depending on the division of
administrative responsibilities.</p>

<span style='font-size:11.0pt;font-family:Arial;mso-fareast-font-family:"Times New Roman";
mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'><br
clear=all style='page-break-before:always'>
</span>

<p class=MsoNormal>2.3.3.1<span class=GramE>&nbsp; Marriage</span> Life Event
Diagram</p>

<p class=MsoNormal style='margin-bottom:12.0pt'><img border=0 width=576
height=576 id="_x0000_i1026" src="Enrollment_files/image002.gif"></p>

<span style='font-size:14.0pt;font-family:Copperplate31ab;mso-fareast-font-family:
"Times New Roman";mso-bidi-font-family:"Times New Roman";mso-font-kerning:18.0pt;
mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'><br
clear=all style='page-break-before:always'>
</span>

<h1><a name="_Ref73153828"></a><a name="_Toc151531599"></a><a
name="_Ref73153835"></a><span style='mso-bookmark:_Ref73153828'>3</span><span
style='mso-bookmark:_Ref73153828'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Schema
Design</span></h1>

<h2><a name="_Ref119214433"></a><a name="_Toc151531600"></a><span
style='mso-bookmark:_Ref119214433'>3.1</span><span style='mso-bookmark:_Ref119214433'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Component Schemas</span></h2>

<p class=MsoNormal>The Enrollment schema is componsed of a number of component
schemas. These schemas are detailed below.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Enrollment/EnrollmentTypes.xsd.
&nbsp;This a collection of reusable types used within the enrollment schema.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Enrollment/Localizations.xsd.
&nbsp;This schema would be edited by implementers to include the appropriate
local content. This schema will become more relevant as additional local
content is added.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.15in;text-autospace:none'><b>US-Only Components</b></p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Enrollment/US/USLocalizations.xsd.&nbsp;
This contains certain components related to US social insurance programs and
mandates (e.g., Medicare, Medicaid, &#8220;HIPAA&#8221;, <span class=GramE>&#8220;</span>COBRA&#8221;).</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Enrollment/US/USRateBasedCoverage.xsd.&nbsp;
This contains components related to rate-based coverages, such as life and
accident insurance.</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Enrollment/US/USSpendingAccountCoverage.xsd.&nbsp;
This contains components related to spending account coverages, such as
&#8220;flexible spending accounts,&#8221; a type of account given certain
preferences under <st1:country-region w:st="on"><st1:place w:st="on">US</st1:place></st1:country-region>
tax law.&nbsp;&nbsp;&nbsp;&nbsp; </p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Enrollment/US/USTierCoverage.xsd.&nbsp;&nbsp;
</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.15in;text-autospace:none'><b>Stock Purchase Plan Coverage Schema</b></p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Stock/StockPurchasePlanCoverage.xsd
</p>

<p class=MsoNormal style='margin-left:.4in'>Separate documentation for the
Stock Purchase Plan Coverage Schema is available in distribution packages that
can be downloaded from the HR-XML website (<a href="http://www.hr-xml.org/">http://www.hr-xml.org</a>).</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.15in;text-autospace:none'><b>Cross-Process Objects </b></p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><a name="OLE_LINK1"></a><a
name="OLE_LINK2"></a><span class=GramE><span style='mso-bookmark:OLE_LINK1'><span
style='font-family:"Courier New"'>o</span></span></span><span style='mso-bookmark:
OLE_LINK1'><span style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span>CPO/DateTimeDataTypes.xsd </p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CPO/ContactMethod.xsd</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CPO/PostalAddress.xsd</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CPO/OnlineAddress.xsd</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CPO/TelcomNumber.xsd</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CPO/PersonName.xsd</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
margin-left:.65in;text-indent:-.25in;text-autospace:none'><span class=GramE><span
style='font-family:"Courier New"'>o</span></span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CPO/EntityIdType.xsd</p>

<p class=MsoNormal style='margin-left:.4in'>Note that documentation for CPO
schemas is available in distribution packages that can be downloaded from the
HR-XML website (<a href="http://www.hr-xml.org/">http://www.hr-xml.org</a>).&nbsp;
Also see, <a href="#RelatedDocuments">Appendix B &#8211; Related Documents.</a></p>

<h2><a name="_Toc151531601">3.2</a><span style='mso-bookmark:_Toc151531601'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Overview</span></h2>

<p class=MsoNormal>Below is a high-level diagram of the Benefit Enrollment
schema.</p>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=552 height=657 id="_x0000_i1027" src="Enrollment_files/image003.jpg"></p>

<span style='font-size:11.0pt;font-family:Arial;mso-fareast-font-family:"Times New Roman";
mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'><br
clear=all style='page-break-before:always'>
</span>

<p class=MsoNormal>&nbsp;</p>

<h2><a name="_Toc151531602">3.3</a><span style='mso-bookmark:_Toc151531602'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Enrollment Element</span></h2>

<p class=MsoNormal>The Enrollment element is the root of the Benefits
Enrollment schema.</p>

<p class=MsoNormal style='margin-bottom:12.0pt'><img border=0 width=624
height=258 id="_x0000_i1028" src="Enrollment_files/image004.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="95%"
 style='width:95.58%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:8.0pt;font-family:Verdana'>Elements and Attributes</span></b><span
  style='font-size:8.0pt;font-family:Verdana'> </span></p>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>[Global types listed
  alphabetically in following table.] </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:8.0pt;font-family:Verdana'>ContentModel</span></b><span
  style='font-size:8.0pt;font-family:Verdana'>* <br>
  <span style='color:green'>Data type</span><br>
  </span><span style='font-size:8.0pt;color:blue'>Occurrence: <br>
  <u>S</u>equence | <u>C</u>hoice | <u>A</u>ll </span><span style='font-size:
  8.0pt;font-family:Verdana;color:blue'>(minOccurs/maxOccurs)</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>Attributes</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:8.0pt;font-family:Verdana'>Definition </span></b></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>Enrollment</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>transactionType</span><span style='font-size:8.0pt;font-family:
  Verdana'> <span style='color:green'>xsd:restriction</span><b><span
  style='color:black'> base: </span></b><span style='color:green'>xsd:string
  [Enumerations]: Change, Full</span><br>
  - <span style='color:green'>- </span><br>
  <span style='color:red'>creationDate</span> - <span style='color:green'>DateTimeType
  - </span><span style='color:blue'>required</span><br>
  <span style='color:red'>originatorId</span> - <span style='color:green'>xsd:string
  - </span><br>
  <span style='color:red'>originatorName</span> - <span style='color:green'>xsd:string
  - </span><br>
  <span style='color:red'>baselineDate</span> - <span style='color:green'>LocalDateNkNaType
  - </span><br>
  <span style='color:red'>recipientId</span> - <span style='color:green'>xsd:string
  - </span><br>
  <span style='color:red'>recipientName</span> - <span style='color:green'>xsd:string
  - </span><br>
  <span style='color:red'>xml:lang</span> - <span style='color:green'>- <br>
  </span>UniquePayloadTrackingId - <span style='color:green'>EntityIdType - </span><span
  style='color:blue'>S (0/1)</span><br>
  Organization - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/*)</span><br>
  UserArea - <span style='color:green'>[see include/import] - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for the benefits enrollment specification. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/<br>
  <b><span style='color:red'>transactionType</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Change,
  Full</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>In the
  context of a batch transaction, specifies if it is a full or changed payload.
  [<b>BusinessRule(s): </b>It is not intended as a processing instruction for
  the receiving system<span class=GramE>. ]</span><br>
  [<b>Example(s): </b>&quot;Full&quot; signifies the entire file is sent in the
  batch transaction. &quot;Change&quot; signifies that only changes are sent in
  the batch transaction. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/<br>
  <b><span style='color:red'>creationDate</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>DateTimeType - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Date
  file was created. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/<br>
  <b><span style='color:red'>originatorId</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Code
  identifying the transaction originator, typically the sender's taxpayer <st1:State
  w:st="on"><st1:place w:st="on">Id.</st1:place></st1:State> </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/<br>
  <b><span style='color:red'>originatorName</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Name of
  the transaction originator. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/<br>
  <b><span style='color:red'>baselineDate</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateNkNaType - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Date
  representing baseline for change data. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/<br>
  <b><span style='color:red'>recipientId</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Code
  identifying the transaction's recipient typically the recipient's taxpayer <st1:State
  w:st="on"><st1:place w:st="on">Id.</st1:place></st1:State> </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/<br>
  <b><span style='color:red'>recipientName</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Name of
  the transaction recipient. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/<br>
  <b>UniquePayloadTrackingId</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>EntityIdType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>An
  identifier to tie the original transmission to the acknowledgement of that
  transmission. <br>
  [<b>BusinessRule(s): </b>The sender in a trading partnership agreeing to use
  the acknowledgement will provide this value in the attribute of the same name
  on the original element; the value will be repeated in this element to
  produce an acknowledgement of a specific payload<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/<br>
  <b>Organization</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>organizationName</span><span style='font-size:8.0pt;font-family:
  Verdana'> - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>required</span><br>
  BenefitsAdministrativeAffiliate - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/*)</span><br>
  Subscriber - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/*)</span><br>
  OrganizationId - <span style='color:green'>EntityIdType - </span><span
  style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  information about the organization. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/<br>
  <b><span style='color:red'>organizationName</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  by which an organization or enterprise is known as established under the laws
  of a country, state, province or ruling governmental body for the purpose of
  conducting business transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ Enrollment/ Organization/<br>
  <b>BenefitsAdministrativeAffiliate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>OrganizationName - <span
  style='color:green'>xsd:string - </span><span style='color:blue'>C (1/1)</span><br>
  PersonName - <span style='color:green'>PersonNameType - </span><span
  style='color:blue'>C (1/1)</span><br>
  EntityRole - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span><br>
  AccountNumber - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  IdentificationCode - <span style='color:green'>EntityIdType - </span><span
  style='color:blue'>S (0/1)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>High level container to describe
  plan administration. <u>Annotation: </u>These entities provide service to the
  Organization related to the organization's provision of benefits to
  subscribers. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Enrollment/ Organization/<br>
  <b>Subscriber</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>SubscriberType - <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span><br>
  OriginatingSubscriberData - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (0/1)</span><br>
  Person - <span style='color:green'>PersonData - </span><span
  style='color:blue'>S (1/1)</span><br>
  Coverage - <span style='color:green'>CoverageType - </span><span
  style='color:blue'>S (1/1)</span><br>
  Employment - <span style='color:green'>EmploymentData - </span><span
  style='color:blue'>S (0/1)</span><br>
  HIPAA - <span style='color:green'>HIPAAData - </span><span style='color:blue'>S
  (0/1)</span><br>
  Medicare - <span style='color:green'>MedicareData - </span><span
  style='color:blue'>S (0/1)</span><br>
  Medicaid - <span style='color:green'>MedicaidData - </span><span
  style='color:blue'>S (0/1)</span><br>
  BenefitReportingInformation - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (0/*)</span><br>
  Dependent - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/*)</span><br>
  UserArea - <span style='color:green'>[see include/import] - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains information about the
  person whose ability to enroll in benefits is based on his/her relationship
  to the organization. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ Enrollment/ Organization/<br>
  <b>OrganizationId</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>EntityIdType
  - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Unique identifier for the
  organization. It may be an internal identifier assigned by the sender. </span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal>&nbsp;</p>

<b><i><span style='font-size:12.0pt;font-family:Arial;mso-fareast-font-family:
"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:EN-US;
mso-bidi-language:AR-SA;layout-grid-mode:line'><br clear=all style='page-break-before:
always'>
</span></i></b>

<h2><a name="_Toc151531603">3.4</a><span style='mso-bookmark:_Toc151531603'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The BenefitsAdiminstrativeAffiliate Element</span></h2>

<p class=MsoNormal>The BenefitsAdiminstrativeAffiliate element is an optional
element containing information identifying the plan administrator. </p>

<p class=MsoNormal align=center style='margin-bottom:12.0pt;text-align:center'><img
border=0 width=480 height=227 id="_x0000_i1029"
src="Enrollment_files/image005.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td width="30%" valign=top style='width:30.08%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
  text-align:center'><b><span style='font-size:8.0pt;font-family:Verdana'>Elements
  and Attributes</span></b><span style='font-size:8.0pt;font-family:Verdana'> </span></p>
  <p class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
  text-align:center'><span style='font-size:8.0pt;font-family:Verdana'>[Global
  types listed alphabetically in following table.] </span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
  text-align:center'><b><span style='font-size:8.0pt;font-family:Verdana'>ContentModel</span></b><span
  style='font-size:8.0pt;font-family:Verdana'>* <br>
  <span style='color:green'>Data type</span><br>
  </span><span style='font-size:8.0pt;color:blue'>Occurrence: <br>
  <u>S</u>equence | <u>C</u>hoice | <u>A</u>ll </span><span style='font-size:
  8.0pt;font-family:Verdana;color:blue'>(minOccurs/maxOccurs)</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>Attributes</span> </span></p>
  </td>
  <td width="35%" valign=top style='width:35.96%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='margin-top:0in;margin-right:0in;
  margin-bottom:12.0pt;margin-left:0in;text-align:center'><b><span
  style='font-size:8.0pt;font-family:Verdana'>Definition </span></b></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/<br>
  <b>BenefitsAdministrativeAffiliate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>OrganizationName
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>C
  (1/1)</span><br>
  PersonName - <span style='color:green'>PersonNameType - </span><span
  style='color:blue'>C (1/1)</span><br>
  EntityRole - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span><br>
  AccountNumber - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  IdentificationCode - <span style='color:green'>EntityIdType - </span><span
  style='color:blue'>S (0/1)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>High level container to describe plan administration. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ BenefitsAdministrativeAffiliate/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>C (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  by which an organization or enterprise is known as established under the laws
  of a country, state, province or ruling governmental body for the purpose of
  conducting business transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ BenefitsAdministrativeAffiliate/<br>
  <b>PersonName</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>PersonNameType - </span><span style='color:blue'>C (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  of a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ BenefitsAdministrativeAffiliate/<br>
  <b>EntityRole</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Plan
  Sponsor, Insurer, Broker or Sales Office, First Party Administrator, Second
  Party Administrator, Third Party Administrator, Other Affiliate</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Describes
  the role played by the BenefitsAdministrativeAffiliate. <br>
  [<b>Example(s): </b>Plan Sponsor, Insurer, Broker, Sales Office, Third Party
  Administrator ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ BenefitsAdministrativeAffiliate/<br>
  <b>AccountNumber</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>An
  account number for an institution. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ BenefitsAdministrativeAffiliate/<br>
  <b>IdentificationCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>EntityIdType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A unique
  identifier used to reference the entity. The Id is associated with the higher
  level element. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ BenefitsAdministrativeAffiliate/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
</table>

<h2><a name="_Toc151531604">3.5</a><span style='mso-bookmark:_Toc151531604'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Subscriber Element</span></h2>

<p class=MsoNormal>The Subscriber element is a required element containing
information about the individual with an ability to enroll in the benefits
program(s) based on a relationship with the Organization sponsoring the benefit
program(s).</p>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=350 height=415 id="_x0000_i1030" src="Enrollment_files/image006.jpg"></p>

<p class=xml style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'><span style='font-family:Arial'>&nbsp;</span></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="101%"
 style='width:101.26%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
  text-align:center'><b><span style='font-size:8.0pt;font-family:Verdana'>Elements
  and Attributes</span></b><span style='font-size:8.0pt;font-family:Verdana'> </span></p>
  <p class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
  text-align:center'><span style='font-size:8.0pt;font-family:Verdana'>[Global
  types listed alphabetically in following table.] </span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
  text-align:center'><b><span style='font-size:8.0pt;font-family:Verdana'>ContentModel</span></b><span
  style='font-size:8.0pt;font-family:Verdana'>* <br>
  <span style='color:green'>Data type</span><br>
  </span><span style='font-size:8.0pt;color:blue'>Occurrence: <br>
  <u>S</u>equence | <u>C</u>hoice | <u>A</u>ll </span><span style='font-size:
  8.0pt;font-family:Verdana;color:blue'>(minOccurs/maxOccurs)</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>Attributes</span> </span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='margin-top:0in;margin-right:0in;
  margin-bottom:12.0pt;margin-left:0in;text-align:center'><b><span
  style='font-size:8.0pt;font-family:Verdana'>Definition </span></b></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/<br>
  <b>Subscriber</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>SubscriberType
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>S
  (1/1)</span><br>
  OriginatingSubscriberData - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (0/1)</span><br>
  Person - <span style='color:green'>PersonData - </span><span
  style='color:blue'>S (1/1)</span><br>
  Coverage - <span style='color:green'>CoverageType - </span><span
  style='color:blue'>S (1/1)</span><br>
  Employment - <span style='color:green'>EmploymentData - </span><span
  style='color:blue'>S (0/1)</span><br>
  HIPAA - <span style='color:green'>HIPAAData - </span><span style='color:blue'>S
  (0/1)</span><br>
  Medicare - <span style='color:green'>MedicareData - </span><span
  style='color:blue'>S (0/1)</span><br>
  Medicaid - <span style='color:green'>MedicaidData - </span><span
  style='color:blue'>S (0/1)</span><br>
  BenefitReportingInformation - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (0/*)<br>
  </span>CoordinationofBenefits - <span style='color:green'>CoordinationOfBenefitsInfoType
  - </span><span style='color:blue'>S (0/*)</span><br>
  Dependent - <span style='color:green'>DependentDataType - </span><span
  style='color:blue'>S (0/*)</span><br>
  UserArea - <span style='color:green'>[see include/import] - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  information about the person whose ability to enroll in benefits is based on
  his/her relationship to the organization. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/<br>
  <b>SubscriberType</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>SubscriberTypeCode
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>S
  (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  information describing the relationship between the subscriber and the
  Organization. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ SubscriberType/<br>
  <b>SubscriberTypeCode</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Employment,
  Survivorship, Dependent-only Coverage</span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>This
  code indicates why this individual can enroll in benefits provided by the
  organization. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ SubscriberType/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes active or begins.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/<br>
  <b>OriginatingSubscriberData</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>IdentificationCode
  - <span style='color:green'>EntityIdType - </span><span style='color:blue'>S
  (1/1)</span><br>
  PersonName - <span style='color:green'>PersonNameType - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Provides
  a link from this subscriber to another subscriber. For use in elevated
  dependent situation such as survivorship. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ OriginatingSubscriberData/<br>
  <b>IdentificationCode</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>EntityIdType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A unique
  identifier used to reference the entity. The Id is associated with the higher
  level element. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ OriginatingSubscriberData/<br>
  <b>PersonName</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>PersonNameType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  of a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/<br>
  <b>Person</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>PersonData - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  various data about a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/<br>
  <b>Coverage</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>CoverageType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Identifies
  the type of coverage. <br>
  [<b>Example(s)</b>: Coverage Global Complex Type describes four types of
  coverage: Coverage Global Complex Type describes four types of coverage:
  Tier-Based Coverage; Rate-Based Coverage; Spending Account Coverage; and
  Stock Purchase Coverage.]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/<br>
  <b>Employment</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>EmploymentData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for all employment-related information as it relates to the person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/<br>
  <b>HIPAA</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>HIPAAData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Health
  Information Portability and Accountability Act. Container for HIPAA related
  elements. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/<br>
  <b>Medicare</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>MedicareData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for subscriber's Medicare information. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ Enrollment/
  Organization/ Subscriber/<br>
  <b>Medicaid</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>MedicaidData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for subscriber's Medicaid information. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/<br>
  <b>BenefitReportingInformation</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>BenefitReportingType
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>S
  (1/1)</span><br>
  BenefitReportingValue - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>High
  level container to describe the benefits-related reporting required. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:15;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ BenefitReportingInformation/<br>
  <b>BenefitReportingType</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the type of benefit reporting. <br>
  [Example(s): Location, Division, Job ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:16;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ BenefitReportingInformation/<br>
  <b>BenefitReportingValue</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the corresponding value of BenefitReportingType. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:17;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ BenefitReportingInformation/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes active or begins.
  <br>
  [BusinessRule(s): This date is inclusive. Dates are represented in accordance
  with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:18;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ </span><span style='font-size:10.0pt'><br>
  <b>CoordinationOfBenefits</b></span></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>- <span style='color:green'>CoordinationOfBenefitsInfoType
  - </span></span><span style='font-size:8.0pt;font-family:Verdana;color:blue'>S
  (0/1)</span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>Contains information about
  other insurance coverage with which an insurer must coordinate payment.
  Contains an indicator of whether coordination of benefits is applicable and
  optionally the name of the other insurer and effective dating.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:19;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td width="29%" valign=top style='width:29.2%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><a name=globalTypes></a><a
  name="_Toc49148671"></a><a name="_Toc49148672"></a><span style='font-size:
  8.0pt;font-family:Verdana'>/ Enrollment/ Organization/ Subscriber/ </span><b><span
  style='font-size:10.0pt'>Dependent</span></b></p>
  </td>
  <td width="36%" valign=top style='width:36.86%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>- <span style='color:green'>DependentDataType
  - </span></span><span style='font-size:8.0pt;font-family:Verdana;color:blue'>S
  (0/*)</span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>The Dependent element
  (using the DependentDataType) is an optional child of the Subsriber element.
  It is a container for all information related to a Subscriber&#8217;s
  dependent. A Subcriber element may have from zero to an unlimited number of
  Dependent elements.</span></p>
  </td>
 </tr>
</table>

<h2><a name="_Toc151531605">3.6</a><span style='mso-bookmark:_Toc151531605'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Global Types</span></h2>

<h3><a name="_Toc151531606">3.6.1</a><span style='mso-bookmark:_Toc151531606'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Coordination of Benefits Info Global Type</span></h3>

<p class=MsoNormal>Used by CoordinationOfBenefits element under both Subscriber
and Dependent. Contains information about other insurance coverage with which
an insurer must coordinate payment.</p>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=471 height=149 id="_x0000_i1031" src="Enrollment_files/image007.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="101%"
 style='width:101.26%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td width="34%" valign=top style='width:34.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>/<br>
  <b>[CoordinationOfBenefitsInfoType]</b> </span></p>
  </td>
  <td width="31%" valign=top style='width:31.24%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>CoordinationOfBenefitsIndicator
  - <span style='color:green'>CoordinationOfBenefitsIndicatorTypesType - </span><span
  style='color:blue'>S (1/1)</span> <br>
  InsurerName - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> <br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> <br>
  EndDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>Contains information about whether
  a coordination of benefits situation exists. Optionally allows the inclusion
  of the name of the relevant insurer and effective dating.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td width="34%" valign=top style='width:34.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>/
  [CoordinationOfBenefitsInfoType]/<br>
  <b>CoordinationOfBenefitsIndicator</b> </span></p>
  </td>
  <td width="31%" valign=top style='width:31.24%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>- <span style='color:green'>CoordinationOfBenefitsIndicatorTypesType
  - </span><span style='color:blue'>S (1/1)</span> </span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>Indicates whether there is
  other coverage with which payments must be coordinated. Enumerated values
  are: yes, no, and unknown. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td width="34%" valign=top style='width:34.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>/
  [CoordinationOfBenefitsInfoType]/<br>
  <b>InsurerName</b> </span></p>
  </td>
  <td width="31%" valign=top style='width:31.24%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>- <span style='color:green'>xsd:string
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>The name of the insurer.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td width="34%" valign=top style='width:34.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>/
  [CoordinationOfBenefitsInfoType]/<br>
  <b>StartDate</b> </span></p>
  </td>
  <td width="31%" valign=top style='width:31.24%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>Contains the (inclusive)
  date, period, or interval the event becomes active or begins. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td width="34%" valign=top style='width:34.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>/
  [CoordinationOfBenefitsInfoType]/<br>
  <b>EndDate</b> </span></p>
  </td>
  <td width="31%" valign=top style='width:31.24%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td width="32%" valign=top style='width:32.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:10.0pt'>Contains
  the (inclusive) date, period, or interval the event becomes inactive or ends.
  </span></p>
  </td>
 </tr>
</table>

<h3><a name="_Toc151531607">3.6.2</a><span style='mso-bookmark:_Toc151531607'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Dependent Data Global Type</span></h3>

<p class=MsoNormal style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'>The Dependent element (using the DependentDataType) is an optional
child of the Subsriber element. It is a container for all information related
to a Subscriber&#8217;s dependent. A Subcriber element may have from zero to an
unlimited number of Dependent elements. The Person element uses type
DependentPersonData. This is a duplicate of the type PersonData used in
Subscriber except the IdentificationCode is optional for a dependent. </p>

<p class=MsoNormal align=center style='margin-top:5.0pt;margin-right:0in;
margin-bottom:12.0pt;margin-left:0in;text-align:center'><img border=0
width=461 height=427 id="_x0000_i1032" src="Enrollment_files/image008.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="101%"
 style='width:101.26%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
  text-align:center'><b><span style='font-size:8.0pt;font-family:Verdana'>Elements
  and Attributes</span></b><span style='font-size:8.0pt;font-family:Verdana'> </span></p>
  <p class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
  text-align:center'><span style='font-size:8.0pt;font-family:Verdana'>[Global
  types listed alphabetically in following table.] </span></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;
  text-align:center'><b><span style='font-size:8.0pt;font-family:Verdana'>ContentModel</span></b><span
  style='font-size:8.0pt;font-family:Verdana'>* <br>
  <span style='color:green'>Data type</span><br>
  </span><span style='font-size:8.0pt;color:blue'>Occurrence: <br>
  <u>S</u>equence | <u>C</u>hoice | <u>A</u>ll </span><span style='font-size:
  8.0pt;font-family:Verdana;color:blue'>(minOccurs/maxOccurs)</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>Attributes</span> </span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='margin-top:0in;margin-right:0in;
  margin-bottom:12.0pt;margin-left:0in;text-align:center'><b><span
  style='font-size:8.0pt;font-family:Verdana'>Definition </span></b></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><b><span style='font-size:8.0pt;font-family:Verdana'>[
  DependentDataType ]</span></b></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>relationshipCode</span><span style='font-size:8.0pt;font-family:
  Verdana'> <span style='color:green'>xsd:restriction</span><b><span
  style='color:black'> base: </span></b><span style='color:green'>xsd:string </span><br>
  - <span style='color:green'>- </span><span style='color:blue'>required</span><br>
  <span style='color:red'>fullTimeStudent</span> - <span style='color:green'>xsd:boolean
  - </span><br>
  Person - <span style='color:green'>DependentPersonData - </span><span
  style='color:blue'>S (1/1)</span><br>
  Coverage - <span style='color:green'>CoverageType - </span><span
  style='color:blue'>S (1/1)</span><br>
  Medicare - <span style='color:green'>MedicareData - </span><span
  style='color:blue'>S (0/1)</span><br>
  Medicaid - <span style='color:green'>MedicaidData - </span><span
  style='color:blue'>S (0/1)</span><br>
  HIPAA - <span style='color:green'>HIPAAData - </span><span style='color:blue'>S
  (0/1)</span><br>
  School - <span style='color:green'>SchoolData - </span><span
  style='color:blue'>S (0/*)</span><br>
  ResponsiblePerson - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (0/1)</span><br>
  CustodialParent - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (0/1)</span><br>
  UserArea - <span style='color:green'>[see include/import] - </span><span
  style='color:blue'>S (0/1</span></span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>An
  element of Subscriber that captures all information related to the Dependent.
  </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b><span style='color:red'>relationshipCode</span></b></span></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Adopted
  Child, Brother or Sister, Brother-in-Law or Sister-in-Law, Child, Collateral
  Dependent, Court Appointed Guardian, Cousin, Dependent of a Minor Dependent,
  Ex-Spouse, Father, Father or Mother, Father-in-Law or Mother-in-Law, Foster
  Child, Grandfather or Grandmother, Grandson or Granddaughter, Guardian, Life
  Partner, Mother, Nephew or Niece, Self, Son-in-Law or Daughter-in-Law,
  Sponsored Dependent, Spouse, Stepfather, Stepmother, Stepson or Stepdaughter,
  Uncle or Aunt, Ward</span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the relationship between subscriber and dependent. <br>
  [<b>Example(s): </b>Spouse, Father, Brother-in-Law ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b><span style='color:red'>fullTimeStudent</span></b></span></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:boolean - </span></span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  if a student is attending full time. True/False. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b>Person</b></span></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>DependentPersonData - </span><span style='color:blue'>S
  (1/1)</span></span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  various data about a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b>Coverage</b></span></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>CoverageType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Identifies
  the type of coverage. <br>
  [Example(s): Coverage Global Complex Type describes four types of coverage:
  Coverage Global Complex Type describes four types of coverage: Tier-Based
  Coverage; Rate-Based Coverage; Spending Account Coverage; and Stock Purchase
  Coverage ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b>Medicare</b></span></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>MedicareData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for subscriber's Medicare information. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b>Medicaid</b></span></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>MedicaidData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for subscriber's Medicaid information. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b>HIPAA</b></span></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>HIPAAData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Health
  Information Portability and Accountability Act. Container for HIPAA related elements.
  </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9;page-break-inside:avoid'>
  <td width="32%" valign=top style='width:32.98%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/</span><span
  style='font-size:10.0pt'><br>
  </span><b><span style='font-size:8.0pt;font-family:Verdana'>CoordinationOfBenefits</span></b></p>
  </td>
  <td width="27%" valign=top style='width:27.92%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:10.0pt'>- <span style='color:green'>CoordinationOfBenefitsInfoType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="37%" colspan=2 valign=top style='width:37.84%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  information about other insurance coverage with which an insurer must
  coordinate payment. Contains an indicator of whether coordination of benefits
  is applicable and optionally the name of the other insurer and effective
  dating. See CoordinationOfBenefitsInfoType.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b>School</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>SchoolData - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Information
  about an educational institution. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b>CustodyInfo</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>CustodyInfoType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>An
  optional field indicateing the type of legal custody for a child dependent.
  Enumerated values are: &quot;both parents&quot;, &quot;former spouse&quot;,
  &quot;subscriber only&quot;, and &quot;other or unknown&quot;. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/ School/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  by which an organization or enterprise is known as established under the laws
  of a country, state, province or ruling governmental body for the purpose of
  conducting business transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/ School/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes active or begins.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/ School/<br>
  <b>EndDate</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes inactive or ends.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:15;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/ School/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (0/*)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:16;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/<br>
  <b>ResponsiblePerson</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>PersonName
  - <span style='color:green'>PersonNameType - </span><span style='color:blue'>S
  (1/1)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (1/*)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Individual
  other than the parent responsible for the person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:17;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/ ResponsiblePerson/<br>
  <b>PersonName</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>PersonNameType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  of a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:18;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ Enrollment/
  Organization/ Subscriber/ Dependent/ ResponsiblePerson/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (1/*)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:19;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ Enrollment/
  Organization/ Subscriber/ Dependent/<br>
  <b>CustodialParent</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>PersonName
  - <span style='color:green'>PersonNameType - </span><span style='color:blue'>S
  (1/1)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (1/*)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Custodial
  parent of a minor dependent usually required when someone other than
  subscriber. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:20;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ Enrollment/
  Organization/ Subscriber/ Dependent/ CustodialParent/<br>
  <b>PersonName</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>PersonNameType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  of a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:21;page-break-inside:avoid'>
  <td width="33%" valign=top style='width:33.0%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  Enrollment/ Organization/ Subscriber/ Dependent/ CustodialParent/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td width="28%" colspan=2 valign=top style='width:28.7%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (1/*)</span></span></p>
  </td>
  <td width="37%" valign=top style='width:37.06%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:22;mso-yfti-lastrow:yes'>
  <td width=252 style='width:189.0pt;border:none;padding:0in 0in 0in 0in'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:12.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p>
  </td>
  <td width=213 style='width:159.75pt;border:none;padding:0in 0in 0in 0in'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:12.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p>
  </td>
  <td width=10 style='width:.1in;border:none;padding:0in 0in 0in 0in'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:12.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p>
  </td>
  <td width=283 style='width:212.25pt;border:none;padding:0in 0in 0in 0in'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:12.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p>
  </td>
 </tr>
</table>

<h3><a name="_Toc151531608">3.6.3</a><span style='mso-bookmark:_Toc151531608'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The Coverage Global Type</span></h3>

<p class=MsoNormal align=center style='margin-bottom:12.0pt;text-align:center'><img
border=0 width=367 height=188 id="_x0000_i1033"
src="Enrollment_files/image009.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[CoverageType]</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>TierCoverage
  - <span style='color:green'>USTierCoverage - </span><span style='color:blue'>S
  (0/*)</span><br>
  SpendingAccountCoverage - <span style='color:green'>USSpendingAccountCoverage
  - </span><span style='color:blue'>S (0/*)</span><br>
  RateBasedCoverage - <span style='color:green'>USRateBasedCoverage - </span><span
  style='color:blue'>S (0/*)</span><br>
  StockPurchasePlanCoverage - <span style='color:green'>[see include/import] - </span><span
  style='color:blue'>S (0/*)</span><br>
  UserArea - <span style='color:green'>[see include/import] - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [Coverage]/<br>
  <b>TierCoverage</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>USTierCoverage - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for information about TierCoverages in which the person is enrolled. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [Coverage]/<br>
  <b>SpendingAccountCoverage</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>USSpendingAccountCoverage - </span><span
  style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  information about Spending Accounts in which the individual is participating.
  </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;mso-yfti-lastrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [Coverage]/<br>
  <b>RateBasedCoverage</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>USRateBasedCoverage - </span><span style='color:blue'>S
  (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for information about Rated Based Coverage in which the person is enrolled. </span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'><span style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>

<h3><a name="_Ref142322038"></a><a name="_Toc151531609"></a><a
name="_Ref142322044"></a><span style='mso-bookmark:_Ref142322038'>3.6.4</span><span
style='mso-bookmark:_Ref142322038'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The
USTierCoverage Global Type</span></h3>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=485 height=718 id="_x0000_i1034" src="Enrollment_files/image010.jpg"></p>

<p class=MsoNormal>&nbsp;</p>

<table class=MsoNormalTable border=1 cellpadding=0 width="89%"
 style='width:89.88%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[USTierCoverage]</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;color:red'>type</span><span style='font-size:8.0pt'> -
  <span style='color:green'>USTierCoveragePlanType - </span><span
  style='color:blue'>required</span> <br>
  TransactionCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> <br>
  ElectedPlanCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> <br>
  GroupNumber - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> <br>
  COBRAStatus - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span> <br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (1/1)</span> <br>
  COBRAInformation - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> <br>
  EndDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> <br>
  CoverageLevel - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (1/*)</span> <br>
  Provider - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/*)</span> <br>
  PlanParticipationSuspensionDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> <br>
  EnrollmentSignatureDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> <br>
  Carrier - <span style='color:green'>CarrierData - </span><span
  style='color:blue'>S (0/1)</span> <br>
  HSAVendor - <span style='color:green'>HSAVendorType - </span><span
  style='color:blue'>S (0/1)</span> <br>
  EligibilityPostalCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> <br>
  IdCard - <span style='color:green'>IdCardData - </span><span
  style='color:blue'>S (0/1)</span> <br>
  EligibilityRegion - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> <br>
  OriginalEffectiveDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> <br>
  LateEntrantIndicator - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage] /<br>
  <b><span style='color:red'>type</span></b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: 24 Care,
  Dental, Dental Capitation, Exclusive Provider Organization, Health, Health
  Maintenance Organization, Hearing, Long Term Care, Long Term Disability, Mail
  Order Drug, Major Medical, Medicare Risk, Mental Health, Point of Service,
  Preferred Provider Organization, Prescription Drug, Preventative Care, Short
  Term Disability, Utilization Review, Vision</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Further defines the associated element in the context
  provided. <br>
  [<b>BusinessRule(s): </b>Additional values are permitted if preceded by an x:
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>TransactionCode</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Add, Audit,
  Change, Correction, Delete, Employee Information Not Available, Reinstatement,
  Termination</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A code
  that applies to the individual records within a batch. <br>
  [<b>BusinessRule(s): </b>Not intended for use in determining the action to
  the receiving system. Informational only. <span class=GramE>]</span><br>
  [<b>Example(s): </b>Add, Change, Delete, Termination, Reinstatement, Correction,
  Audit, Employee Information Not Available. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>ElectedPlanCode</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Identifies
  the actual plan or option in which the person is enrolling. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>GroupNumber</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Group
  number for the plan in which the subscriber or dependent is enrolled.
  &nbsp;Group numbers may be constructed of a number of component parts. In
  such cases it recommended, but not required, that the components be separated
  with a colon - :</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>COBRAStatus</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: COBRA,
  non-COBRA</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  whether a person is COBRA or non-COBRA. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes active or begins.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>COBRAInformation</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>COBRAStartDate
  - <span style='color:green'>LocalDateType - </span><span style='color:blue'>S
  (0/1)</span><br>
  COBRAEndDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  PaidThroughDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  QualifyingEventDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  QualifyingEventCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  AdditionalQualifyingEventData - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  information on the period of COBRA coverage and on the type and date of the
  qualifying event triggering COBRA eligibility. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ COBRAInformation/<br>
  <b>COBRAStartDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The date
  COBRA coverage begins. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ [USTierCoverage]/
  COBRAInformation/<br>
  <b>COBRAEndDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The date
  COBRA coverage ends. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ COBRAInformation/<br>
  <b>PaidThroughDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The date
  through which this person's COBRA coverage is paid. <br>
  [<b>BusinessRule(s): </b>This is different than the COBRAEndDate<span
  class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ COBRAInformation/<br>
  <b>QualifyingEventDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The
  reported date associated with the qualifying event. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ COBRAInformation/<br>
  <b>QualifyingEventCode</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Bankruptcy
  of a Retired Employee, Death, Divorce, Ineligible Child, Medicare, Reduction
  of work hours, Separation, Termination of Employment</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the event qualifying the person for COBRA continuation of coverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ COBRAInformation/<br>
  <b>AdditionalQualifyingEventData</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  additional (non-regulatory) COBRA qualifying event data, as defined by the
  trading partner agreement. <br>
  <b>[Business Rule(s): </b>Extend COBRA coverage period beyond statuatory
  limits.]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>EndDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes inactive or ends.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:15;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>CoverageLevel</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>CoverageLevelCode
  - <span style='color:green'>[complexType] - </span><span style='color:blue'>S
  (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for all coverage information within USTierCoverage and USRateBasedCoverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:16;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ CoverageLevel/<br>
  <b>CoverageLevelCode</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>- [Union]: CoverageLevelCodeType, xStringPatternExtensionType</span><span
  style='font-size:8.0pt;font-family:Verdana'> </span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  coverage level. <br>
  [<b>Example(s): </b>Children Only, Employee and Two Dependents, Family,
  Individual ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:17;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ CoverageLevel/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes active or begins.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:18;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>Provider</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>providerType</span><span style='font-size:8.0pt;font-family:Verdana'>
  <span style='color:green'>xsd:restriction</span><b><span style='color:black'>
  base: </span></b><span style='color:green'>xsd:string [Enumerations]:
  Obstetrics and Gynecology Facility, Doctor of Optometry, Primary Care
  Provider, Pharmacy, Dentist, Managed Care Organization</span><br>
  - <span style='color:green'>- </span><br>
  <span style='color:red'>providerTypeQualifier</span> <span style='color:green'>xsd:restriction</span><b><span
  style='color:black'> base: </span></b><span style='color:green'>xsd:string
  [Enumerations]: Person, Non Person Entity</span><br>
  - <span style='color:green'>- </span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  OrganizationName - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>C (0/1)</span><br>
  PersonName - <span style='color:green'>PersonNameType - </span><span
  style='color:blue'>C (0/1)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (0/*)</span><br>
  ProviderId - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  ProviderRelationshipCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  ProviderChangeReason - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Information
  about the provider associated with the coverage. <br>
  [<b>Example(s): </b>Physician, Clinic, Primary Care Provider, Other Provider
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:19;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/<br>
  <b><span style='color:red'>providerType</span></b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Obstetrics
  and Gynecology Facility, Doctor of Optometry, Primary Care Provider, Pharmacy,
  Dentist, Managed Care Organization</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the type of provider. <br>
  [<b>Example(s): </b>Doctor of Optometry, Dentist, Managed Care Organization ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:20;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/<br>
  <b><span style='color:red'>providerTypeQualifier</span></b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Person, Non
  Person Entity</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the type of provider. <br>
  [<b>Example(s): </b>Person, Non-Person Entity ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:21;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes active or begins.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:22;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>C (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  by which an organization or enterprise is known as established under the laws
  of a country, state, province or ruling governmental body for the purpose of
  conducting business transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:23;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/<br>
  <b>PersonName</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>PersonNameType - </span><span style='color:blue'>C (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  of a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:24;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (0/*)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:25;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/<br>
  <b>ProviderId</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:extension</span><b><span style='font-size:8.0pt;font-family:
  Verdana;color:black'> base: </span></b><span style='font-size:8.0pt;
  font-family:Verdana;color:green'>xsd:string</span><span style='font-size:
  8.0pt;font-family:Verdana'><br>
  <span style='color:red'>providerIdQualifier</span> <span style='color:green'>xsd:restriction</span><b><span
  style='color:black'> base: </span></b><span style='color:green'>xsd:string
  [Enumerations]: Social Security Number, Federal Taxpayer Identification
  Number, HCFA National Provider Identifier, Mutually Defined</span><br>
  - <span style='color:green'>- </span><span style='color:blue'>required</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>A unique identifier for the provider. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:26;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/ ProviderId/<br>
  <b><span style='color:red'>providerIdQualifier</span></b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Social
  Security Number, Federal Taxpayer Identification Number, HCFA National
  Provider Identifier, Mutually Defined</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the type of provider identification number. <br>
  [<b>Example(s): </b>Federal Taxpayer Number, HCFA National Provider
  Identifier ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:27;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/<br>
  <b>ProviderRelationshipCode</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Established
  Patient, Not Established Patient, Not Known</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the type of relationship the person has with the provider. <br>
  [<b>BusinessRule(s): </b>Values are Established Patient, Not Established
  Patient, Not Known<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:28;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Provider/<br>
  <b>ProviderChangeReason</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Appointment
  Times Not Met in a Timely Manner, Current Customer Information File in Error,
  Dissatisfaction with Medical Care/Services Rendered, Dissatisfaction with
  Office Staff, Dissatisfaction with Physician's Referral Policy, Dissatisfied
  with Office Hours, Inconvenient Office Location, Less Respect/Attention/Time
  Given Than to Other Patients, No Reason Given, Patient Moved to a New
  Location, Plan Change, Unable to Scheduled Appointments in a Timely Manner,
  Voluntary Withdrawal, Dissatisfaction with Medical Care or Services Rendered,
  Dissatisfaction with Physician Referral Policy, Less Respect ir Attention or
  Time Given Than to Other Patients</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Reason
  why person is changing providers.</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>The following enumerations were
  deprecated because the special characters could cause errors with code
  generators. </span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Deprecated: Dissatisfaction with
  Medical Care/Services Rendered. Replaced by: Dissatisfaction with Medical
  Care or Services Rendered</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Deprecated:&nbsp; Dissatisfaction
  with Physician's Referral Policy</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Replace by: Dissatisfaction with
  Physician Referral Policy </span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Deprecated: Less
  Respect/Attention/Time Given Than to Other Patients</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Replaced by: Less Respect or
  Attention or Time Given Than to Other Patients</span></p>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:29;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>PlanParticipationSuspensionDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A date
  indicating the last day in which participation in the plan is possible. The
  context of the date may be broader than the individual (organization or group
  level) but is provided here at the individual level. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:30;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>EnrollmentSignatureDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the date on file for the enrollment signature. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:31;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>Carrier</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>CarrierData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  information about the insurance carrier or other provider of benefits
  coverage. <br>
  [<b>Example(s): </b>Person's Name, Organization's Name, Additional
  Information ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:32;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Carrier/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  by which an organization or enterprise is known as established under the laws
  of a country, state, province or ruling governmental body for the purpose of
  conducting business transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:33;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Carrier/<br>
  <b>IdentificationCode</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>EntityIdType - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A unique
  identifier used to reference the entity. The Id is associated with the higher
  level element. <br>
  [<b>Synonym(s): </b>Id ]<br>
  [<b>BusinessRule(s): </b>This should be used by the receiving system as the key
  subscriber identifier<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:34;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ Carrier/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (0/*)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:35;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt'>/ [ USTierCoverage ]/<br>
  <b>HSAVendor</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt'>OrganizationName - <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span>
  <br>
  IdentificationCode - <span style='color:green'>EntityIdType - </span><span
  style='color:blue'>S (0/*)</span> <br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (0/*)<br>
  </span>UseDefaultAccountSponsor - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span> <br>
  SignatureDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  identifying information related to the selection of a health care spending
  account (HSA) vendor. This element is used only if the tier coverage is
  elected in connection to a HSA offering.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:36;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt'>/ [ USTierCoverage ]/<br>
  HSAVendor<b>/ OrganizationName</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  of the HSA vendor elected by the subscriber.&nbsp; Note that this usually
  would be used only if the elected vendor is other than the default HSA
  vendor. &nbsp;See UseDefaultAccountSponsor.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:37;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ </span><span style='font-size:8.0pt'>HSAVendor</span><span
  style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>IdentificationCode</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>EntityIdType - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A unique
  identifier used to reference the entity. The Id is associated with the higher
  level element. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:38;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ </span><span style='font-size:8.0pt'>HSAVendor</span><span
  style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (0/*)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:39;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ </span><span style='font-size:8.0pt'>HSAVendor</span><span
  style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>UseDefaultAccountSponsor</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt'>- <span style='color:green'>xsd:boolean
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A
  Boolean that may be used to indicate whether the subscriber has elected the
  health plan&#8217;s default HSA vendor.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:40;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ </span><span style='font-size:8.0pt'>HSAVendor</span><span
  style='font-size:8.0pt;font-family:Verdana'>/ <b>SignatureDate </b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Used to
  indicate that the subscriber&#8217;s signature selecting the indicated HSA
  vendor is on file with benefits administrator. Provides the signature date
  for that election.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:41;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>EligibilityPostalCode</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Postal
  code used for eligibility determination. <br>
  [<b>BusinessRule(s): </b>When possible, this should be sent by the source
  system. Receiving system will determine how/if to use this information. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:42;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>IdCard</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>IdCardData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for capturing identification card insurance information. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:43;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ IdCard/<br>
  <b>PlanCoverageDescription</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Describes
  the plan coverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:44;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ IdCard/<br>
  <b>Quantity</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:nonNegativeInteger - </span><span style='color:blue'>S
  (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A
  numerical quantity that is assigned or determined by calculation or
  measurement. <br>
  [<b>Example(s): </b>The number of shares to be vested, number of produced
  pieces, number of benefit Id cards, or number of positions to be filled. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:45;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/ IdCard/<br>
  <b>ActionCode</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Add,
  Change, Replace</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A code indicating
  the reason an ID card is requested for this benefit. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:46;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>EligibilityRegion</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The
  region&nbsp;which defines the location of the subscriber/dependent for
  purposes of plan eligibility in this coverage.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:47;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USTierCoverage]/<br>
  <b>OriginalEffectiveDate</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The date
  an event was originally became effective. <br>
  [<b>BusinessRule(s): </b>&nbsp;Should represent the first date of continuous
  coverage with the carrier, as known by the source system<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:48;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USTierCoverage]/<br>
  <b>LateEntrantIndicator</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:boolean
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A boolean value indicating
  whether the person is enrolling outside the normal enrollment period. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:49;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td width="35%" valign=top style='width:35.8%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[CoverageLevelCodeType]</b></span></p>
  </td>
  <td width="29%" valign=top style='width:29.34%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: Children Only, Dependents Only, Employee and Children,
  Employee and Five or More Dependents, Employee and Four or More Dependents,
  Employee and One Dependent, Employee and One or More Dependents, Employee and
  Spouse, Employee and Three Dependents, Employee and Three or More Dependents,
  Employee and Two Dependents, Employee and Two or More Dependents, Employee
  Only, Family, Individual, Not Applicable, Spouse and Children, Spouse Only,
  Two Party, Employee and Domestic Partner, Domestic Partner and Children,
  Domestic Partner Only, Employee and Spouse or Domestic Partner, Child or
  Children of a Domestic Partner</span></p>
  </td>
  <td width="33%" valign=top style='width:33.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Globally scoped data type. See
  element or attribute declaration for definition.</span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'><span style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>

<h3><a name="_Toc151531610">3.6.5</a><span style='mso-bookmark:_Toc151531610'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The USSpendingAccountCoverage Global Type</span></h3>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=520 height=634 id="_x0000_i1035" src="Enrollment_files/image011.jpg"></p>

<p class=MsoNormal>&nbsp;</p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[USSpendingAccountCoverage]</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>type</span><span style='font-size:8.0pt;font-family:Verdana'> <span
  style='color:green'>xsd:restriction</span><b><span style='color:black'> base:
  </span></b><span style='color:green'>xsd:string [Enumerations]: FSA Health
  Care, FSA Dependent Care</span><br>
  - <span style='color:green'>- </span><span style='color:blue'>required</span><br>
  GroupNumber - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  TransactionCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  PlanParticipationSuspensionDate - <span style='color:green'>DateNkNaType - </span><span
  style='color:blue'>S (0/1)</span><br>
  PlanYear - <span style='color:green'>xsd:gYear - </span><span
  style='color:blue'>S (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (1/1)</span><br>
  EndDate - <span style='color:green'>LocalDateNkType - </span><span
  style='color:blue'>S (0/1)</span><br>
  ContributionData - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (1/*)</span><br>
  RolloverBalance - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/1)</span><br>
  Carrier - <span style='color:green'>CarrierData - </span><span
  style='color:blue'>S (0/1)</span><br>
  DirectDepositData - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage] /<br>
  <b><span style='color:red'>type</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: FSA Health
  Care, FSA Dependent Care, Health Reimbursement Account</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Further defines the associated element in the context
  provided. <br>
  [<b>BusinessRule(s): </b>Additional values are permitted if preceded by an x:
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>GroupNumber</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Group
  number of the plan in which the subscriber or dependent is enrolled. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>TransactionCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Add, Audit,
  Change, Correction, Delete, Employee Information Not Available,
  Reinstatement, Termination</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A code
  that applies to the individual records within a batch. <br>
  [<b>BusinessRule(s): </b>This does not contemplate envelope-level verbs<span
  class=GramE>. ]</span><br>
  [<b>Example(s): </b>Add, Termination, Audit, Suspension ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>PlanParticipationSuspensionDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>DateNkNaType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A date
  indicating the last day in which participation in the plan is possible. The
  context of the date may be broader than the individual (organization or group
  level) but is provided here at the individual level. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>PlanYear</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:gYear - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the year for which this plan applies. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>PlanStartDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The
  start date for the current plan year. Used with PlanEndDate when a
  finer-grain option to PlanYear is required (e.g., a partial year).</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ [USSpendingAccountCoverage]/<br>
  <b>PlanStartDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The end
  date for the current plan year. Used with PlanStartDate when a finer-grain
  option to PlanYear is required (e.g., a partial year).</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>StartDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Start date for the Spending Account Coverage. Contains
  the (inclusive) date, period, or interval the event becomes active or begins.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>EndDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>End date
  for the Spending Account Coverage. Contains the (inclusive) date, period, or
  interval the event becomes inactive or ends. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601.]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>ContributionData</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>contributor</span><span style='font-size:8.0pt;font-family:Verdana'>
  <span style='color:green'>xsd:restriction</span><b><span style='color:black'>
  base: </span></b><span style='color:green'>xsd:string [Enumerations]:
  Employer, Employee</span><br>
  - <span style='color:green'>- </span><span style='color:blue'>required</span><br>
  GoalAmount - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (1/1)</span><br>
  PerPayPeriodAmount - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/1)</span><br>
  YTDContributionAmount - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/1)</span><br>
  Frequency - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for Spending Account contribution information. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ ContributionData/<br>
  <b><span style='color:red'>contributor</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Employer,
  Employee</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  whether the contributor is the Employer or the Employee. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ ContributionData/<br>
  <b>GoalAmount</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:extension</span><b><span style='font-size:8.0pt;font-family:
  Verdana;color:black'> base: </span></b><span style='font-size:8.0pt;
  font-family:Verdana;color:green'>xsd:double</span><span style='font-size:
  8.0pt;font-family:Verdana'><br>
  <span style='color:red'>currency</span> - <span style='color:green'>CurrencyCodeType
  - </span><span style='color:blue'>required</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the annual goal amount. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ ContributionData/ GoalAmount/<br>
  <b><span style='color:red'>currency</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>CurrencyCodeType - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A
  three-letter code identifying the currency of a monetary amount. <br>
  [<b>BusinessRule(s): </b>Currency is represented in accordance with ISO 4217
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ ContributionData/<br>
  <b>PerPayPeriodAmount</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:extension</span><b><span style='font-size:8.0pt;font-family:
  Verdana;color:black'> base: </span></b><span style='font-size:8.0pt;
  font-family:Verdana;color:green'>xsd:double</span><span style='font-size:
  8.0pt;font-family:Verdana'><br>
  <span style='color:red'>currency</span> - <span style='color:green'>CurrencyCodeType
  - </span><span style='color:blue'>required</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the amount per pay period. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:15;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ [USSpendingAccountCoverage]/
  ContributionData/ PerPayPeriodAmount/<br>
  <b><span style='color:red'>currency</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>CurrencyCodeType - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A
  three-letter code identifying the currency of a monetary amount. <br>
  [<b>BusinessRule(s): </b>Currency is represented in accordance with ISO 4217
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:16;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ [USSpendingAccountCoverage]/
  ContributionData/<br>
  <b>YTDContributionAmount</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:extension</span><b><span style='font-size:8.0pt;font-family:
  Verdana;color:black'> base: </span></b><span style='font-size:8.0pt;
  font-family:Verdana;color:green'>xsd:double</span><span style='font-size:
  8.0pt;font-family:Verdana'><br>
  <span style='color:red'>currency</span> - <span style='color:green'>CurrencyCodeType
  - </span><span style='color:blue'>required</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the year-to-date contribution amount. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:17;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ ContributionData/ YTDContributionAmount/<br>
  <b><span style='color:red'>currency</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>CurrencyCodeType - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A
  three-letter code identifying the currency of a monetary amount. <br>
  [<b>BusinessRule(s): </b>Currency is represented in accordance with ISO 4217
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:18;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ ContributionData/<br>
  <b>Frequency</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Annually,
  Bi-Weekly, Daily, Monthly, One Time Only, Quarterly, Semi-Annually,
  Semi-Monthly, Weekly</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the frequency of the contribution. <br>
  [<b>Example(s): </b>Daily, Weekly, Bi-Weekly, Monthly, Annually ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:19;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>RolloverBalance</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:extension</span><b><span style='font-size:8.0pt;font-family:
  Verdana;color:black'> base: </span></b><span style='font-size:8.0pt;
  font-family:Verdana;color:green'>xsd:double</span><span style='font-size:
  8.0pt;font-family:Verdana'><br>
  <span style='color:red'>currency</span> - <span style='color:green'>CurrencyCodeType
  - </span><span style='color:blue'>required</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the rollover balance, if any, from the previous year. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:20;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ RolloverBalance/<br>
  <b><span style='color:red'>currency</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>CurrencyCodeType - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A
  three-letter code identifying the currency of a monetary amount. <br>
  [<b>BusinessRule(s): </b>Currency is represented in accordance with ISO 4217
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:21;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>Carrier</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>CarrierData - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  information about the insurance carrier or other provider of benefits
  coverage. <br>
  [<b>Example(s): </b>Person's Name, Organization's Name, Additional
  Information ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:22;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ Carrier/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  by which an organization or enterprise is known as established under the laws
  of a country, state, province or ruling governmental body for the purpose of
  conducting business transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:23;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ Carrier/<br>
  <b>IdentificationCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>EntityIdType - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A unique
  identifier used to reference the entity. The Id is associated with the higher
  level element. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:24;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ Carrier/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:25;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>DirectDepositData</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>AccountType
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>S
  (1/1)</span><br>
  ABARoutingNumber - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span><br>
  BankAccountNumber - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  for all direct deposit information. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:26;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ DirectDepositData/<br>
  <b>AccountType</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Checking,
  Savings</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Indicates type of account. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:27;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ DirectDepositData/<br>
  <b>ABARoutingNumber</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  ABA bank routing number. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:28;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/ DirectDepositData/<br>
  <b>BankAccountNumber</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  a bank account number. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:29;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [USSpendingAccountCoverage]/<br>
  <b>AutoReimbursement</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>AutoReimbursementType - </span><span style='color:blue'>S
  (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>An
  indicator of how auto reimbursement of claims should be administered.
  Enumerated values are &#8220;all&#8221;; &#8220;none&#8221;; and
  &#8220;byClaim&#8221;.</span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'><span style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>

<h3><a name="_Toc151531611">3.6.6</a><span style='mso-bookmark:_Toc151531611'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The USRateBasedCoverage Global Type</span></h3>

<p class=MsoNormal align=center style='margin-bottom:12.0pt;text-align:center'><img
border=0 width=410 height=539 id="_x0000_i1036"
src="Enrollment_files/image012.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="99%"
 style='width:99.36%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[USRateBasedCoverage]</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>TransactionCode - <span
  style='color:green'>EnrollmentTransactionType - </span><span
  style='color:blue'>S (0/1)</span><br>
  ElectedPlanCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  GroupNumber - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  CoverageType - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  Carrier - <span style='color:green'>CarrierData - </span><span
  style='color:blue'>S (0/1)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (1/1)</span><br>
  EndDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  CoverageLevel - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/*)</span><br>
  Question - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (0/*)</span><br>
  EOIOnFileWithEmployer - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span><br>
  EOIRequired - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span><br>
  BeneficiaryData - <span style='color:green'>BeneficiaryDataType - </span><span
  style='color:blue'>S (0/*)</span><br>
  EligibilityPostalCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  LateEntrantIndicator - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Globally scoped data type. See
  element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>TransactionCode</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>EnrollmentTransactionType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A code that applies to the
  individual records within a batch. <br>
  [<b>BusinessRule(s): </b>Not intended for use in determining the action to
  the receiving system. Informational only. <span class=GramE>]</span><br>
  [<b>Example(s): </b>Add, Change, Delete, Termination, Reinstatement,
  Correction, Audit, Employee Information Not Available. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>ElectedPlanCode</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:string
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Identifies the actual plan or
  option in which the person is enrolling. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>GroupNumber</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:string
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Group number for the plan in
  which the subscriber or dependent is enrolled. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>CoverageType</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Product - <span style='color:
  green'>[complexType] - </span><span style='color:blue'>S (1/1)</span><br>
  ProductType - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (1/1)</span><br>
  CoveredEntity - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the type of coverage. <br>
  [<b>Example(s): </b>Preventative care, Medicare Risk, Long Term Care ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageType/<br>
  <b>Product</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>- [Union]:
  ProductType, xStringPatternExtensionType</span><span style='font-size:8.0pt;
  font-family:Verdana'> </span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Describes the product. [<b>Example(s):
  </b>Life Insurance, Accidental Death and Dismemberment Insurance, Long Term
  Disability ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/ CoverageType/<br>
  <b>ProductType</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>- [Union]:
  ProductTypeType, xStringPatternExtensionType</span><span style='font-size:
  8.0pt;font-family:Verdana'> </span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the product type. <br>
  [<b>Example(s): </b>Supplemental, Basic ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageType/<br>
  <b>CoveredEntity</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]:
  Self, Spouse, Common Law Spouse, Dependent, Child</span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates who is covered. <br>
  [<b>Example(s): </b>Self, Spouse, Dependent ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>Carrier</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>CarrierData
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains information about the
  insurance carrier or other provider of benefits coverage. <br>
  [<b>Example(s): </b>Person's Name, Organization's Name, Additional
  Information ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/ Carrier/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:string
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>The name by which an organization
  or enterprise is known as established under the laws of a country, state,
  province or ruling governmental body for the purpose of conducting business
  transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/ Carrier/<br>
  <b>IdentificationCode</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>EntityIdType
  - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A unique identifier used to
  reference the entity. The Id is associated with the higher level element. <br>
  [<b>BusinessRule(s): </b>Enrollment: This should be used by the receiving
  system as the key subscriber identifier<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/ Carrier/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>ContactMethodType
  - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains the (inclusive) date, period,
  or interval the event becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>EndDate</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains the (inclusive) date,
  period, or interval the event becomes inactive or ends. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601.]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>CoverageLevel</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>ApprovedCoverage - <span
  style='color:green'>xsd:double - </span><span style='color:blue'>S (0/1)</span><br>
  RequestedCoverage - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/1)</span><br>
  StartDate - <span style='color:green'>LocalDateNaType - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Container for all coverage
  information within USTierCoverage and USRateBasedCoverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:15;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/<br>
  <b>ApprovedCoverage</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Level - <span style='color:green'>xsd:double
  - </span><span style='color:blue'>S (0/1)</span><br>
  Volume - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Container for information about
  the approved benefits coverage. ]<br>
  [<b>Synonym(s): </b>ApprovedCoverageInfo ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:16;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ ApprovedCoverage/<br>
  <b>Level</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>CoverageLevelValue - <span
  style='color:green'>xsd:double - </span><span style='color:blue'>S (1/1)</span><br>
  CoverageLevelMultiplier - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (1/1)</span><br>
  CoverageLevelType - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Container for the level of
  coverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:17;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ ApprovedCoverage/ Level/<br>
  <b>CoverageLevelValue</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:extension</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:double</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>currency</span> - <span style='color:green'>CurrencyCodeType
  - </span><span style='color:blue'>required</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the monetary value of
  the coverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:18;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ ApprovedCoverage/ Level/ CoverageLevelValue/<br>
  <b><span style='color:red'>currency</span></b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>CurrencyCodeType
  - </span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A three-letter code identifying
  the currency of a monetary amount.&nbsp; <br>
  [<b>BusinessRule(s): </b>Currency is represented in accordance with ISO 4217
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:19;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ ApprovedCoverage/ Level/<br>
  <b>CoverageLevelMultiplier</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:double
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the multiplier of the
  coverage. <br>
  [<b>Example(s): </b>2 times Salary, 3 times Salary ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:20;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ ApprovedCoverage/ Level/<br>
  <b>CoverageLevelType</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: Salary, YearsOfService, Fixed</span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the type of coverage
  level. <br>
  [<b>Example(s): </b>Salary, Years of Service ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:21;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ ApprovedCoverage/<br>
  <b>Volume</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:extension</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:double</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>currency</span> - <span style='color:green'>CurrencyCodeType
  - </span><span style='color:blue'>required</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the total volume of the
  benefit. <br>
  [<b>Example(s): </b>$100,000 Life Insurace Coverage, $2,500 a Month Long Term
  Disability Amount ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:22;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ ApprovedCoverage/ Volume/<br>
  <b><span style='color:red'>currency</span></b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>CurrencyCodeType
  - </span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A three-letter code identifying
  the currency of a monetary amount. <br>
  [<b>BusinessRule(s): </b>Currency is represented in accordance with ISO 4217
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:23;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/<br>
  <b>RequestedCoverage</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Level - <span style='color:green'>xsd:double
  - </span><span style='color:blue'>S (0/1)</span><br>
  Volume - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Container for the requested
  coverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:24;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/ CoverageLevel/
  RequestedCoverage/<br>
  <b>Level</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>CoverageLevelValue - <span
  style='color:green'>xsd:double - </span><span style='color:blue'>S (1/1)</span><br>
  CoverageLevelMultiplier - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (1/1)</span><br>
  CoverageLevelType - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Container for the level of
  coverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:25;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/ CoverageLevel/
  RequestedCoverage/ Level/<br>
  <b>CoverageLevelValue</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:extension</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:double</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>currency</span> - <span style='color:green'>CurrencyCodeType
  - </span><span style='color:blue'>required</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the monetary value of
  the coverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:26;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ RequestedCoverage/ Level/ CoverageLevelValue/<br>
  <b><span style='color:red'>currency</span></b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>CurrencyCodeType
  - </span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A three-letter code identifying
  the currency of a monetary amount. <br>
  [<b>BusinessRule(s): </b>Currency is represented in accordance with ISO 4217
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:27;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/ CoverageLevel/
  RequestedCoverage/ Level/<br>
  <b>CoverageLevelMultiplier</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:double
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the multiplier of the
  coverage. <br>
  [<b>Example(s): </b>2 times Salary, 3 times Salary ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:28;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ RequestedCoverage/ Level/<br>
  <b>CoverageLevelType</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: Salary, YearsOfService, Fixed</span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the type of coverage
  level. <br>
  [<b>Example(s): </b>Salary, Years of Service ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:29;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ RequestedCoverage/<br>
  <b>Volume</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:extension</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:double</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>currency</span> - <span style='color:green'>CurrencyCodeType
  - </span><span style='color:blue'>required</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the total volume of the
  benefit. <br>
  [<b>Example(s): </b>$100,000 Life Insurace Coverage, $2,500 a Month Long Term
  Disability Amount ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:30;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/ RequestedCoverage/ Volume/<br>
  <b><span style='color:red'>currency</span></b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>CurrencyCodeType
  - </span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A three-letter code identifying
  the currency of a monetary amount. <br>
  [<b>BusinessRule(s): </b>Currency is represented in accordance with ISO 4217
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:31;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  CoverageLevel/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateNaType
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains the (inclusive) date,
  period, or interval the event becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:32;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>Question</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:red'>questionID</span><span
  style='font-size:8.0pt;font-family:Verdana'> - <span style='color:green'>xsd:int
  - </span><span style='color:blue'>required</span><br>
  QuestionText - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  QuestionAnswer - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A textual query designed to
  generate an answer or response. <br>
  [<b>BusinessRule(s): </b>Frequently used within a question/answer pair<span
  class=GramE>. ]</span><br>
  [<b>Example(s): </b>Insurance related question: is the person a smoker<span
  class=GramE>? ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:33;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  Question/<br>
  <b><span style='color:red'>questionID</span></b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:int
  - </span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Unique identifier for the
  question. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:34;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  Question/<br>
  <b>QuestionText</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:string
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Text for a question. <br>
  [<b>BusinessRule(s): </b>This should be associated with a particular answer
  and be contained in a question/answer set<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:35;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  Question/<br>
  <b>QuestionAnswer</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:string
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Textual response to a particular
  question. <br>
  [<b>BusinessRule(s): </b>This should be associated with a particular question
  and be contained in a question/answer pair<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:36;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>EOIOnFileWithEmployer</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:boolean
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A boolean value indicating
  whether the employer has Evidence of Insurability on File. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:37;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>EOIRequired</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:boolean
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A boolean value indicating
  whether the Evidence of Insurability (EOI) is required by the employer. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:38;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>BeneficiaryData</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>PersonName - <span
  style='color:green'>PersonNameType - </span><span style='color:blue'>C (1/1)</span><br>
  OrganizationName - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>C (1/1)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (0/*)</span><br>
  DateOfBirth - <span style='color:green'>DateNkNaType - </span><span
  style='color:blue'>S (0/1)</span><br>
  Relationship - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  IdentificationCode - <span style='color:green'>EntityIdType - </span><span
  style='color:blue'>S (0/1)</span><br>
  InheritanceAmount - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/1)</span><br>
  BeneficiarySequence - <span style='color:green'>xsd:integer - </span><span
  style='color:blue'>S (0/1)</span><br>
  StartDate - <span style='color:green'>LocalDateNkNaType - </span><span
  style='color:blue'>S (1/1)</span><br>
  EndDate - <span style='color:green'>LocalDateNaType - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>High level container to describe
  the plan beneficiary. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:39;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  BeneficiaryData/<br>
  <b>PersonName</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>PersonNameType
  - </span><span style='color:blue'>C (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>The name of a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:40;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  BeneficiaryData/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:string
  - </span><span style='color:blue'>C (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>The name by which an organization
  or enterprise is known as established under the laws of a country, state, province
  or ruling governmental body for the purpose of conducting business
  transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:41;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  BeneficiaryData/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>ContactMethodType
  - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains contact information. [<b>Example(s):
  </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:42;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  BeneficiaryData/<br>
  <b>DateOfBirth</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>DateNkNaType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A person's birth date. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:43;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  BeneficiaryData/<br>
  <b>Relationship</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: Adopted Child, Brother or Sister, Brother-in-Law or
  Sister-in-Law, Child, Collateral Dependent, Court Appointed Guardian, Cousin,
  Dependent of a Minor Dependent, Ex-Spouse, Father, Father or Mother,
  Father-in-Law or Mother-in-Law, Foster Child, Grandfather or Grandmother,
  Grandson or Granddaughter, Guardian, Life Partner, Mother, Nephew or Niece,
  Self, Son-in-Law or Daughter-in-Law, Sponsored Dependent, Spouse, Stepfather,
  Stepmother, Stepson or Stepdaughter, Uncle or Aunt, Ward</span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><i><span
  style='font-size:8.0pt;font-family:Verdana'>Context definition: </span></i><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the beneficiary's
  relationship to insured. For example, Spouse, Father, Brother-in-Law.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:44;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  BeneficiaryData/<br>
  <b>IdentificationCode</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>EntityIdType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A unique identifier used to
  reference the entity. The Id is associated with the higher level element. <br>
  [<b>BusinessRule(s): </b>Enrollment: This should be used by the receiving
  system as the key subscriber identifier<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:45;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/ BeneficiaryData/<br>
  <b>InheritanceAmount</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:extension</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:double</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>inheritanceType</span> <span style='color:green'>xsd:restriction</span><b><span
  style='color:black'> base: </span></b><span style='color:green'>xsd:string
  [Enumerations]: Percentage, MonetaryAmount</span><br>
  - <span style='color:green'>- </span><span style='color:blue'>required</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Amount of inheritance. <br>
  [<b>BusinessRule(s): </b>This may be a percentage or monetary amount, based
  on the type<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:46;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  BeneficiaryData/ InheritanceAmount/<br>
  <b><span style='color:red'>inheritanceType</span></b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: Percentage, MonetaryAmount</span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the type of amount.
  This might be a percentage or monetary amount. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:47;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  BeneficiaryData/<br>
  <b>BeneficiarySequence</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:integer
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates the order in which the
  beneficiary receives the payments <br>
  [<b>Example(s): </b>1 (Primary); 2 (Secondary), 3 (Terciery) ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:48;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/ BeneficiaryData/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateNkNaType
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains the (inclusive) date,
  period, or interval the event becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:49;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/
  BeneficiaryData/<br>
  <b>EndDate</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateNaType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains the (inclusive) date,
  period, or interval the event becomes inactive or ends. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in accordance
  with ISO 8601.]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:50;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>EligibilityPostalCode</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:string
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Postal code used for eligibility
  determination. <br>
  [<b>BusinessRule(s): </b>Enrollment: When possible, this should be sent by
  the source system. Receiving system will determine how/if to use this
  information. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:51;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [USRateBasedCoverage]/<br>
  <b>LateEntrantIndicator</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:boolean
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A boolean value indicating
  whether the person is enrolling outside the normal enrollment period. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:52'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[EnrollmentTransactionType]</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Add, Audit,
  Change, Correction, Delete, Employee Information Not Available,
  Reinstatement, Termination</span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:53;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[ProductType]</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: Life Insurance, Accidental Death and Dismemberment Insurance,
  Long-Term Disability Insurance, Short-Term Disability Insurance</span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Globally scoped data type. See
  element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:54;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td width="28%" valign=top style='width:28.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[ProductTypeType]</b></span></p>
  </td>
  <td width="33%" valign=top style='width:33.12%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: Not Applicable, Supplemental, Basic, Group</span></p>
  </td>
  <td width="36%" valign=top style='width:36.78%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Globally scoped data type. See
  element or attribute declaration for definition.</span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'><span style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>

<p class=MsoNormal style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'><span style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></p>

<h3><a name="_Toc151531612">3.6.7</a><span style='mso-bookmark:_Toc151531612'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The EmploymentData Global Type</span></h3>

<p class=MsoNormal align=center style='margin-bottom:12.0pt;text-align:center'><img
border=0 width=393 height=436 id="_x0000_i1037"
src="Enrollment_files/image013.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="99%"
 style='width:99.36%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[EmploymentData]</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>employeeId</span><span style='font-size:8.0pt;font-family:Verdana'>
  - <span style='color:green'>xsd:string - </span><br>
  EmploymentStatus - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/*)</span><br>
  EmploymentLevel - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/*)</span><br>
  EmploymentOrganization - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (0/*)</span><br>
  HireDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  OriginalHireDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  EmploymentTerminationDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  LastDayWorked - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  ReturnToWorkDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  EEOCCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span><br>
  VIPFlag - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData] /<br>
  <b><span style='color:red'>employeeId</span></b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The
  identification code of the employee as defined by the employer. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/<br>
  <b>EmploymentStatus</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>EmploymentStatusCode
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>S
  (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Container for employment status information. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/ EmploymentStatus/<br>
  <b>EmploymentStatusCode</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Active
  Foreign Military, Active Domestic Military, Active, Leave of Absence, Short
  Term Disability, Long Term Disability, Retired, Terminated</span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Indicates the status of the employee. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/ EmploymentStatus/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes active or begins.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/<br>
  <b>EmploymentLevel</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>EmploymentLevelCode
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>S
  (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Container
  to indicate full-time or part-time employment. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/ EmploymentLevel/<br>
  <b>EmploymentLevelCode</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Full Time,
  Part Time</span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Code
  indicating whether an employee is full-time or part-time. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ [EmploymentData]/
  EmploymentLevel/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Contains the (inclusive) date, period, or interval the
  event becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/<br>
  <b>EmploymentOrganization</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>EmploymentOrganizationGroup
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>S
  (1/1)</span><br>
  EmploymentOrganizationGroupType - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the information regarding how the subscriber belongs to the employer. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/ EmploymentOrganization/<br>
  <b>EmploymentOrganizationGroup</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the particular organization group. <br>
  [<b>Example(s): </b>Sales, Marketing, <st1:City w:st="on">Atlanta</st1:City>,
  <st1:City w:st="on"><st1:place w:st="on">San Francisco</st1:place></st1:City>
  ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/ EmploymentOrganization/<br>
  <b>EmploymentOrganizationGroupType</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the particular organization group type. <br>
  [<b>Example(s): </b>Division, Location ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ [EmploymentData]/
  EmploymentOrganization/<br>
  <b>StartDate</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Contains the (inclusive) date, period, or interval the
  event becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/<br>
  <b>HireDate</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Date the
  person was originally hired by the organization. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/<br>
  <b>OriginalHireDate</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The date
  this person was first hired by the organization. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/<br>
  <b>EmploymentTerminationDate</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the actual employment termination date, if applicable. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:15;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ [EmploymentData]/<br>
  <b>LastDayWorked</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  the last day the subscriber worked for the employer. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:16;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/<br>
  <b>ReturnToWorkDate</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The date
  on which a subscriber is expected to return to work. <br>
  [<b>Example(s): </b>Dated returned from Leave of Absence, Date returned from
  Military Reserve Duty<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:17;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [EmploymentData]/<br>
  <b>EEOCCode</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: American
  Indian or Alaskan Native, Asian or Pacific Islander, Black, Black (Non-Hispanic),
  Caucasian, Hispanic, Not Provided, White (Non-Hispanic)</span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A code
  used to identify the race of the person as defined by the Equal Employment
  Opportunity Commission. <br>
  [<b>Example(s): </b>Asian, Pacific Islander, Blank, Caucasian, Hispanic ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:18;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/ [EmploymentData]/<br>
  <b>VIPFlag</b></span></p>
  </td>
  <td width="34%" valign=top style='width:34.46%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:boolean - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td width="27%" valign=top style='width:27.82%;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  whether the employee is considered a VIP (Very Important Person) by the
  employer. </span></p>
  </td>
 </tr>
</table>

<h3><a name="_Ref118889379"></a><a name="_Toc151531613"></a><a
name="_Ref119212137"></a><a name="_Ref118889405"></a><span style='mso-bookmark:
_Ref118889379'>3.6.8</span><span style='mso-bookmark:_Ref118889379'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The MedicareData Global Type</span></h3>

<p class=MsoNormal>Note that the MedicareData GlobalType has been significantly
revised. The pre-existing components have been maintained for backward
compatibility, but have been deprecated. These deprecated components should be
avoided in new implementations and will be removed in a future version of the
schema.</p>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=422 height=390 id="_x0000_i1038" src="Enrollment_files/image014.jpg"></p>

<p class=MsoNormal>&nbsp;</p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/<br>
  <b>Medicare</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>MedicareData - </span><span
  style='color:blue'>(1/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Contains Medicare information for a subcriber or dependent.
  </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/<br>
  <b>StartDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Contains the (inclusive) date, period, or interval
  the event becomes active or begins. </span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'><br>
  [<b>Deprecated:</b>&nbsp; Maintained for backward compatibility. Going forward
  implementers should use the effective dating available under the
  MedicarePartA, MedicarePartB, and MedicarePartD components. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/<br>
  <b>EndDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:12.0pt;
  margin-left:0in'><span style='font-size:8.0pt'>Contains the (inclusive) date,
  period, or interval the event becomes inactive or ends. </span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>[<b>Deprecated:</b> &nbsp;Maintained for backward
  compatibility. Going forward implementers should use the effective dating
  available under the MedicarePartA, MedicarePartB, and MedicarePartD
  components. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/<br>
  <b>MedicarePartANumber</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Subscriber's Medicare Part A number. </span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>&nbsp;</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>[<b>Deprecated:</b>&nbsp; Maintained for backward
  compatibility. Going forward implementers should use
  HealthInsuranceClaimNumber. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/<br>
  <b>MedicarePartBNumber</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Subscriber's Medicare Part B number. </span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>&nbsp;</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>[<b>Deprecated:</b>&nbsp; Maintained for backward
  compatibility. Going forward implementers should use
  HealthInsuranceClaimNumber. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/<br>
  <b>MedicareEntitlement</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>IsEligible - <span style='color:green'>MedicareIsEligibleTypesType
  - </span><span style='color:blue'>S (0/1)</span> <br>
  EntitlementReason - <span style='color:green'>EntitlementReasonCodeTypesType
  - </span><span style='color:blue'>S (0/1)</span> <br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> <br>
  EndDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Contains information indicating whether the
  individual is entitled to the U.S. Medicare program and relevant effective dating.
  </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicareEntitlement/<br>
  <b>IsEligible</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>MedicareIsEligibleTypesType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Indicates whether the individual is eligible for the
  program. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicareEntitlement/<br>
  <b>EntitlementReason</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>EntitlementReasonCodeTypesType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>A reason making a person eligible under the U.S.
  Medicare program. Enumerated values are: age; ESRD (end-stage renal disease);
  disabled; working disabled; unknown. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicareEntitlement/<br>
  <b>StartDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Contains the (inclusive) date, period, or interval
  the event becomes active or begins. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicareEntitlement/<br>
  <b>EndDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:12.0pt;
  margin-left:0in'><span style='font-size:8.0pt'>Contains the (inclusive) date,
  period, or interval the event becomes inactive or ends. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/<br>
  <b>HealthInsuranceClaimNumber</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:12.0pt;
  margin-left:0in'><span style='font-size:8.0pt'>A &quot;Health Insurance Claim
  Number,&quot; sometimes referred to as a &quot;HIC No,&quot; is the primary
  Medicare reference number. It is used when filing claims. </span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>[Note: Replaces MedicarePartANumber and MedicarePartBNumber,
  which are deprecated.] <br>
  [Synonym(s): MedicarePartANumber, MedicarePartBNumber ]</span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal align=center style='text-align:center'>&nbsp;</p>

<h3 style='margin-left:.6in;text-indent:-.6in'><a name="_Toc151531614">3.6.8.1</a><span
style='mso-bookmark:_Toc151531614'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MedicarePartA</span></h3>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=354 height=110 id="_x0000_i1039" src="Enrollment_files/image015.jpg"></p>

<p class=MsoNormal align=center style='text-align:center'>&nbsp;</p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/<br>
  <b>MedicarePartA</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>MedicareCoverageBaseType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>This element contains information about the
  individual's Medicare Part A eligibility and enrollment. Medicare Part A is
  the Hospital Insurance portion of the U.S. Medicare program. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartA/<br>
  <b>IsEnrolled</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>MedicareIsEnrolledTypesType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Indicates whether the individual is enrolled in the
  particular plan. Enumerated values are &quot;yes,&quot; &quot;no,&quot;
  &quot;unknown,&quot; and &quot;not applicable&quot;. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartA/<br>
  <b>StartDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:12.0pt;
  margin-left:0in'><span style='font-size:8.0pt'>Contains the (inclusive) date,
  period, or interval the event becomes active or begins. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;mso-yfti-lastrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartA/<br>
  <b>EndDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:12.0pt;
  margin-left:0in'><span style='font-size:8.0pt'>Contains the (inclusive) date,
  period, or interval the event becomes inactive or ends. </span></p>
  </td>
 </tr>
</table>

<h3 style='margin-left:.6in;text-indent:-.6in'><a name="_Toc151531615">3.6.8.2</a><span
style='mso-bookmark:_Toc151531615'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MedicarePartB</span></h3>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=354 height=110 id="_x0000_i1040" src="Enrollment_files/image016.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/<br>
  <b>MedicarePartB</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>MedicareCoverageBaseType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>This element contains information about the
  individual's Medicare Part B eligibility and enrollment. Medicare Part B is
  the portion of the U.S. Medicare program covering physician services. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartB/<br>
  <b>IsEnrolled</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>MedicareIsEnrolledTypesType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Indicates whether the <span class=GramE>individuals
  is</span> enrolled in the particular plan. Enumerated values are
  &quot;yes,&quot; &quot;no,&quot; &quot;unknown,&quot; and &quot;not
  applicable&quot;. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartB/<br>
  <b>StartDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:12.0pt;
  margin-left:0in'><span style='font-size:8.0pt'>Contains the (inclusive) date,
  period, or interval the event becomes active or begins. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;mso-yfti-lastrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartB/<br>
  <b>EndDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:12.0pt;
  margin-left:0in'><span style='font-size:8.0pt'>Contains the (inclusive) date,
  period, or interval the event becomes inactive or ends. </span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal align=center style='text-align:center'>&nbsp;</p>

<p class=MsoNormal align=center style='margin-bottom:12.0pt;text-align:center'><o:p>&nbsp;</o:p></p>

<h3 style='margin-left:.6in;text-indent:-.6in'><a name="_Toc151531616">3.6.8.3</a><span
style='mso-bookmark:_Toc151531616'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MedicarePartD</span></h3>

<p class=MsoNormal align=center style='text-align:center'>&nbsp;</p>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=624 height=192 id="_x0000_i1041" src="Enrollment_files/image017.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/<br>
  <b>MedicarePartD</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>MedicareCoveragePartDType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>This element contains information about the
  individual's Medicare Part D program eligibility and enrollment as well as
  details about the specific drug plan in which the individual is enrolled. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartD/<br>
  <b>MedicareDrugPlanInfo</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>MedicareDrugPlanInfoType
  - </span><span style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Contains information about an individual's drug plan
  enrollment. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartD/ MedicareDrugPlanInfo/<br>
  <b>UniqueBenefitOptionId</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>EntityIdType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Identifies a benefit option available under the
  particular drug plan. A plan-defined value. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartD/ MedicareDrugPlanInfo/<br>
  <b>DrugPlanCoverage</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>DrugPlanCoverageType - <span style='color:green'>MedicareDrugPlanTypesType
  - </span><span style='color:blue'>S (1/1)</span> <br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> <br>
  EndDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Contains information about the individual's Medicare
  Part D drug plan coverage. Indicates the type of Part D coverage and relevant
  effective dating. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartD/ MedicareDrugPlanInfo/
  DrugPlanCoverage/<br>
  <b>DrugPlanCoverageType</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>MedicareDrugPlanTypesType
  - </span><span style='color:blue'>S (1/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>Identifies the type of Medicare Part D coverage.
  Enumerated values are: Part D Subsidy Program; Integrated Wrapped Secondary
  Coverage; Not Participating Subsidy; Not Participating; and Unknown. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartD/ MedicareDrugPlanInfo/
  DrugPlanCoverage/<br>
  <b>StartDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:12.0pt;
  margin-left:0in'><span style='font-size:8.0pt'>Contains the (inclusive) date,
  period, or interval the event becomes active or begins. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;mso-yfti-lastrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>/ Medicare/ MedicarePartD/ MedicareDrugPlanInfo/
  DrugPlanCoverage/<br>
  <b>EndDate</b> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt'>- <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span> </span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:12.0pt;
  margin-left:0in'><span style='font-size:8.0pt'>Contains the (inclusive) date,
  period, or interval the event becomes inactive or ends. </span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal>&nbsp;</p>

<h3><a name="_Toc151531617">3.6.9</a><span style='mso-bookmark:_Toc151531617'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>The MedicaidData Global Type</span></h3>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=230 height=71 id="_x0000_i1042" src="Enrollment_files/image018.jpg"></p>

<p class=MsoNormal>&nbsp;</p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[MedicaidData]</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>StartDate
  - <span style='color:green'>LocalDateType - </span><span style='color:blue'>S
  (1/1)</span><br>
  EndDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [MedicaidData]/<br>
  <b>StartDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Contains the (inclusive) date, period, or interval the
  event becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [MedicaidData]/<br>
  <b>EndDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes inactive or ends.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
</table>

<h3><a name="_Toc151531618">3.6.10</a><span style='mso-bookmark:_Toc151531618'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span class=GramE>The</span> HIPAAData Global Type</span></h3>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=302 height=32 id="_x0000_i1043" src="Enrollment_files/image019.jpg"></p>

<table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0
 style='border-collapse:collapse;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td width=136 valign=top style='width:102.2pt;border-top:inset 1.0pt;
  border-left:inset 1.0pt;border-bottom:none;border-right:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[HIPAAData]</b></span></p>
  </td>
  <td width=182 valign=top style='width:136.55pt;border:none;border-top:inset 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>PriorCoverageMonths
  - <span style='color:green'>xsd:nonNegativeInteger - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td width=314 valign=top style='width:235.25pt;border-top:inset 1.0pt;
  border-left:none;border-bottom:none;border-right:inset 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td width=133 valign=top style='width:99.95pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [HIPAAData]/<br>
  <b>PriorCoverageMonths</b></span></p>
  </td>
  <td width=180 valign=top style='width:135.05pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:nonNegativeInteger - </span><span style='color:blue'>S
  (1/1)</span></span></p>
  </td>
  <td width=311 valign=top style='width:233.0pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Reports
  the number of prior months during which this person had medical coverage. The
  derivation of this value is related to HIPAA legislation regarding the
  portability of health insurance. </span></p>
  </td>
 </tr>
</table>

<h3><a name="_Toc151531619">3.6.11</a><span style='mso-bookmark:_Toc151531619'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span class=GramE>The</span> PersonData Global Type</span></h3>

<p class=MsoNormal>This structure is identical to the DependentPersonData type,
with the exception of the Identification Code, which is required in the
PersonData type and optional in the DependentPersonData type. For expediency,
only the PersonData type is described. </p>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=291 height=636 id="_x0000_i1044" src="Enrollment_files/image020.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[PersonData]</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>IdentificationCode - <span
  style='color:green'>EntityIdType - </span><span style='color:blue'>S (1/1)</span><br>
  PriorIncorrectIdentificationCode - <span style='color:green'>EntityIdType - </span><span
  style='color:blue'>S (0/1)</span><br>
  PersonName - <span style='color:green'>PersonNameType - </span><span
  style='color:blue'>S (1/1)</span><br>
  PriorIncorrectPersonName - <span style='color:green'>PersonNameType - </span><span
  style='color:blue'>S (0/1)</span><br>
  Gender - <span style='color:green'>GenderCodeType - </span><span
  style='color:blue'>S (1/1)</span><br>
  PriorIncorrectGender - <span style='color:green'>GenderCodeType - </span><span
  style='color:blue'>S (0/1)</span><br>
  DateOfBirth - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (1/1)</span><br>
  PriorIncorrectDateOfBirth - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  DateOfDeath - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (0/*)</span><br>
  Language - <span style='color:green'>LanguageData - </span><span
  style='color:blue'>S (0/*)</span><br>
  Height - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/1)</span><br>
  Weight - <span style='color:green'>xsd:double - </span><span
  style='color:blue'>S (0/1)</span><br>
  SubstanceAbuser - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span><br>
  TobaccoUser - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span><br>
  MaritalStatus - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/*)</span><br>
  Disability - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/*)</span><br>
  Employer - <span style='color:green'>[complexType] - </span><span
  style='color:blue'>S (0/*)</span><br>
  StudentIndicator - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span><br>
  DisabilityIndicator - <span style='color:green'>xsd:boolean - </span><span
  style='color:blue'>S (0/1)</span><br>
  PostalAddress - <span style='color:green'>[see include/import] - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Globally scoped data type. See element
  or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>IdentificationCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>EntityIdType
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A unique identifier used to
  reference the entity. The Id is associated with the higher level element. <br>
  [<b>BusinessRule(s): </b>This should be used by the receiving system as the
  key subscriber identifier<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>PriorIncorrectIdentificationCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>EntityIdType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Used to report an identification
  code previously reported to the downstream partner later corrected by a
  subsequent transaction. <br>
  [<b>BusinessRule(s): </b>This is to allow proper keying<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>PersonName</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>PersonNameType
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>The name of a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>PriorIncorrectPersonName</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>PersonNameType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Used to report a person name
  previously reported to the downstream partner later corrected by a subsequent
  transaction. <br>
  [<b>BusinessRule(s): </b>This is to allow proper keying<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>Gender</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>GenderCodeType
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Signifies to the system the
  gender of the person. <br>
  [<b>BusinessRule(s): </b>Representation of Human Sexes values are represented
  in accordance with ISO 5218<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>PriorIncorrectGender</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>GenderCodeType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Used to report a gender
  previously reported to the downstream partner later corrected by a subsequent
  transaction. <br>
  [<b>BusinessRule(s): </b>This is to allow proper keying<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>DateOfBirth</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A person's birth date. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>PriorIncorrectDateOfBirth</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Used to report a date of birth
  previously reported to the downstream partner later corrected by a subsequent
  transaction. <br>
  [<b>BusinessRule(s): </b>This is to allow proper keying<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>DateOfDeath</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Date of death for subscriber or
  dependent. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>ContactMethodType
  - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>Language</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LanguageData
  - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains information about a single
  language. &nbsp;<br>
  [<b>BusinessRule(s): </b>Proficiency in a language should be reported using
  the competency schema<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Language/<br>
  <b>LanguageCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Code indicating a language. <br>
  [<b>BusinessRule(s): </b>Recommend using ISO 639-1 language set<span
  class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Language/<br>
  <b>LanguageUsage</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: Written, Spoken</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates how a language is used
  or expressed. <br>
  [<b>BusinessRule(s): </b>This may include whether a person can speak, read,
  or write in the specified language, but does not indicate proficiency<span
  class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>Height</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:extension</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:double</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>units</span> <span style='color:green'>xsd:restriction</span><b><span
  style='color:black'> base: </span></b><span style='color:green'>xsd:string
  [Enumerations]: inches, centimeters</span><br>
  - <span style='color:green'>- </span><span style='color:blue'>required</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Specifies the height of a person.
  </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:15;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Height/<br>
  <b><span style='color:red'>units</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: inches, centimeters</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Describes the quantity in which
  the item is measured. <br>
  [<b>Example(s): </b>Pounds, Kilograms, Inches, Centimeters ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:16;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>Weight</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:extension</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:double</span><span
  style='font-size:8.0pt;font-family:Verdana'><br>
  <span style='color:red'>units</span> <span style='color:green'>xsd:restriction</span><b><span
  style='color:black'> base: </span></b><span style='color:green'>xsd:string
  [Enumerations]: pounds, kilograms</span><br>
  - <span style='color:green'>- </span><span style='color:blue'>required</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>A number to indicate the physical
  weight of the person. <br>
  [<b>BusinessRule(s): </b>The unit of measure is stored in a separate element
  or attribute<span class=GramE>. ]</span><br>
  [<b>Example(s): </b>30 Kilos, 180 Pounds ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:17;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Weight/<br>
  <b><span style='color:red'>units</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: pounds, kilograms</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Describes the quantity in which
  the item is measured. <br>
  [<b>Example(s): </b>Pounds, Kilograms, Inches, Centimeters ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:18;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>SubstanceAbuser</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:boolean
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Code indicating whether this
  person is a substance abuser. Included <span class=GramE>for 834
  compatibility</span>. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:19;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>TobaccoUser</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:boolean
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates whether or not this person
  is a tobacco user. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:20;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>MaritalStatus</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>MaritalStatusCode - <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateNkNaType - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains information on the
  marital status of the person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:21;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ MaritalStatus/<br>
  <b>MaritalStatusCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string
  [Enumerations]: Divorced, Legally Separated, Married, Registered Domestic
  Partner, Separated, Single, Unmarried, Unreported, Widowed</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Code indicating person's marital
  status. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:22;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ MaritalStatus/<br>
  <b>StartDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateNkNaType
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains the (inclusive) date,
  period, or interval the event becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:23;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>Disability</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>DisabilityType - <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateNkNaType - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Relevant information about the
  person's disabilities. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:24;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Disability/<br>
  <b>DisabilityType</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:restriction</span><b><span
  style='font-size:8.0pt;font-family:Verdana;color:black'> base: </span></b><span
  style='font-size:8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]:
  Short Term Disability, Long Term Disability, Permanent or Total Disability,
  No Disability</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains the type of disability.
  For example, short term disability or permanent. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:25;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Disability/<br>
  <b>StartDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateNkNaType
  - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains the (inclusive) date,
  period, or interval the event becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:26;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>Employer</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>OrganizationName - <span
  style='color:green'>xsd:string - </span><span style='color:blue'>C (1/1)</span><br>
  PersonName - <span style='color:green'>PersonNameType - </span><span
  style='color:blue'>C (1/1)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (0/*)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Container for employer-related
  information. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:27;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Employer/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:string
  - </span><span style='color:blue'>C (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>The name by which an organization
  or enterprise is known as established under the laws of a country, state,
  province or ruling governmental body for the purpose of conducting business
  transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:28;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Employer/<br>
  <b>PersonName</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>PersonNameType
  - </span><span style='color:blue'>C (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>The name of a person. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:29;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Employer/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>ContactMethodType
  - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:30;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/ Employer/<br>
  <b>StartDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>LocalDateType
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Contains the (inclusive) date,
  period, or interval the event becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:31;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>StudentIndicator</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:boolean
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates whether or not
  this&nbsp;person is considered a student. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:32;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>/ [PersonData]/<br>
  <b>DisabilityIndicator</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>- <span style='color:green'>xsd:boolean
  - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
  style='font-size:8.0pt;font-family:Verdana'>Indicates whether or not
  this&nbsp;person is considered to be disabled. </span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal><b><span style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></b></p>

<h3><a name="_Toc151531620">3.6.12</a><span style='mso-bookmark:_Toc151531620'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span class=GramE>The</span> LanguageData Global Type</span></h3>

<p class=MsoNormal align=center style='margin-bottom:12.0pt;text-align:center'><img
border=0 width=436 height=124 id="_x0000_i1045"
src="Enrollment_files/image021.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[LanguageData]</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>languageCodeQualifier</span><span style='font-size:8.0pt;
  font-family:Verdana'> - <span style='color:green'>xsd:string - </span><br>
  <span style='color:red'>use</span> <span style='color:green'>xsd:restriction</span><b><span
  style='color:black'> base: </span></b><span style='color:green'>xsd:string [Enumerations]:
  Native Language, Reading Language, Speaking Language</span><br>
  - <span style='color:green'>- </span><br>
  LanguageCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span><br>
  LanguageUsage - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [LanguageData] /<br>
  <b><span style='color:red'>languageCodeQualifier</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Defines
  the language code used by the LanguageData element. <br>
  [<b>BusinessRule(s): </b>International Standards Organizations values are
  represented in accordance with ISO 639<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [LanguageData] /<br>
  <b><span style='color:red'>use</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Native
  Language, Reading Language, Speaking Language</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Describes
  the purpose of language use. <br>
  [<b>Example(s): </b>Native Language, Reading Language, Speaking Language ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [LanguageData]/<br>
  <b>LanguageCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Code
  indicating a language. <br>
  [<b>BusinessRule(s): </b>Recommend using ISO 639-1 language set<span
  class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;mso-yfti-lastrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [LanguageData]/<br>
  <b>LanguageUsage</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Written,
  Spoken</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Indicates
  how a language is used or expressed. <br>
  [<b>BusinessRule(s): </b>This may include whether a person can speak, read,
  or write in the specified language, but does not indicate proficiency<span
  class=GramE>. ]</span></span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'><b><span style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></b></p>

<h3><a name="_Toc151531621">3.6.13</a><span style='mso-bookmark:_Toc151531621'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span class=GramE>The</span> CarrierData Global Type</span></h3>

<p class=MsoNormal align=center style='text-align:center'><img border=0
width=284 height=110 id="_x0000_i1046" src="Enrollment_files/image022.jpg"></p>

<p class=MsoNormal>&nbsp;</p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[CarrierData]</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>OrganizationName
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>S
  (0/1)</span><br>
  IdentificationCode - <span style='color:green'>EntityIdType - </span><span
  style='color:blue'>S (0/*)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [CarrierData]/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  by which an organization or enterprise is known as established under the laws
  of a country, state, province or ruling governmental body for the purpose of
  conducting business transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [CarrierData]/<br>
  <b>IdentificationCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>EntityIdType - </span><span style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A unique
  identifier used to reference the entity. The Id is associated with the higher
  level element. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;mso-yfti-lastrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [CarrierData]/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
</table>

<h3 style='margin-left:0in;text-indent:0in'>&nbsp;</h3>

<h3><a name="_Toc151531622">3.6.14</a><span style='mso-bookmark:_Toc151531622'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span class=GramE>The</span> IdCardData Global Type</span></h3>

<p class=MsoNormal align=center style='margin-bottom:12.0pt;text-align:center'><img
border=0 width=317 height=163 id="_x0000_i1047"
src="Enrollment_files/image023.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[IdCardData]</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>idCardType</span><span style='font-size:8.0pt;font-family:Verdana'>
  <span style='color:green'>xsd:restriction</span><b><span style='color:black'>
  base: </span></b><span style='color:green'>xsd:string [Enumerations]: Dental
  Insurance, Health Insurance, Prescription Drug Service Insurance</span><br>
  - <span style='color:green'>- </span><span style='color:blue'>required</span><br>
  PlanCoverageDescription - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (1/1)</span><br>
  Quantity - <span style='color:green'>xsd:nonNegativeInteger - </span><span
  style='color:blue'>S (0/1)</span><br>
  ActionCode - <span style='color:green'>xsd:string - </span><span
  style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [IdCardData] /<br>
  <b><span style='color:red'>idCardType</span></b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Dental
  Insurance, Health Insurance, Prescription Drug Service Insurance</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Describes
  the type of insurance card. <br>
  [<b>Example(s): </b>Dental Insurance, Health Insurance, Prescription Drug
  Service Insurance<span class=GramE>. ]</span></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [IdCardData]/<br>
  <b>PlanCoverageDescription</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Describes
  the plan coverage. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [IdCardData]/<br>
  <b>Quantity</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:nonNegativeInteger - </span><span style='color:blue'>S
  (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A
  numerical quantity that is assigned or determined by calculation or
  measurement. <br>
  [<b>Example(s): </b>The number of shares to be vested, number of produced
  pieces, number of benefit Id cards, or number of positions to be filled. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;mso-yfti-lastrow:yes;page-break-inside:avoid'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [IdCardData]/<br>
  <b>ActionCode</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>xsd:restriction</span><b><span style='font-size:8.0pt;
  font-family:Verdana;color:black'> base: </span></b><span style='font-size:
  8.0pt;font-family:Verdana;color:green'>xsd:string [Enumerations]: Add,
  Change, Replace</span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>A code
  indicating the reason an ID card is requested for this benefit. </span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'><b><span style='font-size:8.0pt;font-family:Verdana'>&nbsp;</span></b></p>

<h3><a name="_Toc151531623">3.6.15</a><span style='mso-bookmark:_Toc151531623'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span class=GramE>The</span> SchoolData Global Type</span></h3>

<p class=MsoNormal align=center style='margin-bottom:12.0pt;text-align:center'><img
border=0 width=282 height=149 id="_x0000_i1048"
src="Enrollment_files/image024.jpg"></p>

<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
 style='width:100.0%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/<br>
  <b>[SchoolData]</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>OrganizationName
  - <span style='color:green'>xsd:string - </span><span style='color:blue'>S
  (1/1)</span><br>
  StartDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  EndDate - <span style='color:green'>LocalDateType - </span><span
  style='color:blue'>S (0/1)</span><br>
  ContactInformation - <span style='color:green'>ContactMethodType - </span><span
  style='color:blue'>S (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Globally
  scoped data type. See element or attribute declaration for definition.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [SchoolData]/<br>
  <b>OrganizationName</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>xsd:string - </span><span style='color:blue'>S (1/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>The name
  by which an organization or enterprise is known as established under the laws
  of a country, state, province or ruling governmental body for the purpose of
  conducting business transactions. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [SchoolData]/<br>
  <b>StartDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:8.0pt;
  font-family:Verdana'>Contains the (inclusive) date, period, or interval the event
  becomes active or begins. <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601. ]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [SchoolData]/<br>
  <b>EndDate</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>LocalDateType - </span><span style='color:blue'>S (0/1)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  the (inclusive) date, period, or interval the event becomes inactive or ends.
  <br>
  [<b>BusinessRule(s): </b>This date is inclusive. Dates are represented in
  accordance with ISO 8601.]</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;mso-yfti-lastrow:yes'>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>/
  [SchoolData]/<br>
  <b>ContactInformation</b></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>- <span
  style='color:green'>ContactMethodType - </span><span style='color:blue'>S
  (0/*)</span></span></p>
  </td>
  <td valign=top style='padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Contains
  contact information. <br>
  [<b>Example(s): </b>Fax, E-mail, Telephone, Mobile Phone, Pager ]</span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt;
margin-left:0in'>&nbsp;</p>

<h1><a name="_Toc510232197"></a><a name="_Toc492656050"></a><a
name="_Toc492655888"></a><a name="_Toc487469954"></a><a name="_Toc480517156"></a><a
name="_Toc459726669"></a><a name="_Toc151531624"></a><span style='mso-bookmark:
_Toc510232197'>4</span><span style='mso-bookmark:_Toc510232197'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Implementation Considerations</span></h1>

<h2><a name="_Toc151531625"></a><a name="_Toc510232198"></a><span
style='mso-bookmark:_Toc151531625'>4.1</span><span style='mso-bookmark:_Toc151531625'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Introduction</span></h2>

<p class=MsoNormal>The successful adoption of any benefit enrollment standard
requires consistent interpretation among trading partners of certain enrollment
situations. This section provides practical guidelines for using the HR-XML
Benefit Enrollment schema in these situations. While an attempt is made to
recommend a preferred approach for interpreting these situations, it is
recognized that the capabilities of current source and receiving systems may
vary widely from the suggested approach. For many situations an alternative
approach is provided.</p>

<h2><a name="_Toc151531626">4.2</a><span style='mso-bookmark:_Toc151531626'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Update versus Replacement File Reporting</span></h2>

<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span
style='layout-grid-mode:line'>In most cases, an XML document conforming to the
Benefits Enrollment schema will be used to transmit new or updated enrollment
data. The TransactionCode element (an optional child element of the Coverage
complex type) indicates the nature of the transaction as it is interpreted by
the sender. The possible values of TransactionCode are:</span></p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:45.35pt;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Add</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:45.35pt;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Change</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:45.35pt;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Delete</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:45.35pt;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Termination</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:45.35pt;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Reinstatement</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:45.35pt;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Correction</p>

<p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
margin-left:45.35pt;margin-bottom:.0001pt;text-indent:-.25in'><span
style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Audit</p>

<p class=MsoNormal>The Enrollment element has an optional TransactionType attribute
(included in the schema primarily for compatibility with ANSI 834). This
attribute has two possible values: &#8220;Change&#8221; or &#8220;Full.&#8221;
TransactionType can be set to &#8220;Change&#8221; when the transmitted XML
file includes only current period change activity and to &#8220;Full&#8221;
when the data in the XML file is intended to replace the receiving
system&#8217;s database with the current state of the sending system&#8217;s
database. Because of the inefficiencies inherent in full-file processing, we do
not recommend the use of Full files for regular maintenance.&nbsp; However, for
Full files, it is recommended that a receiving system not assume terminations
based on the absence of an enrolled member. If terminations due to absence are
to be used, it must be stipulated in a trading partner agreement.</p>

<p class=MsoNormal>The Benefits Enrollment schema also supports periodic audits
to compare data between sending and receiving systems. To accomplish this, a
conforming XML document should include all available information about
subscribers and dependents with coverage as of an agreed-upon effective date.
The Enrollment element&#8217;s TransactionType can optionally be set to
&#8220;Full&#8221; and a TransactionCode with a value of &#8220;Audit&#8221;
should be used for every instance of the Coverage complex type. </p>

<h2><a name="_Toc151531627"></a><a name="_Toc49148693"></a>4.3<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Complete Family Reporting versus Individual Changes Only</h2>

<p class=MsoNormal>For the purposes of Update File reporting, it is RECOMMENDED
that complete family units be sent whenever there is a change to any member of
the family. In other words, the unit of work for an update transaction is all
members of the family regardless of <span class=GramE>who</span> or what is
actually changing. </p>

<h2><a name="_Toc151531628"></a><a name="_Toc49148696"></a>4.4<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Correcting Person Identifier, Name and Demographic Data </h2>

<p class=MsoNormal>Changing or correcting person data requires special
attention to assure these changes are treated as &#8220;updates&#8221; and not
&#8220;adds&#8221; by the receiving system. The Benefit Enrollment schema will
always assume Person Identifier (typically Social Security Number in the <st1:country-region
w:st="on"><st1:place w:st="on">USA</st1:place></st1:country-region>), Person
Name, Gender and Date of Birth are populated with the most current data from
the source system. Because these fields, either individually or in combination,
may be used as key identifiers by the receiving system, previous values SHOULD
be provided when any of these change in the current reporting period. The
Benefit Enrollment schema provides this capability through the use of
corresponding &#8220;prior incorrect&#8221; fields. Prior Incorrect
Identification Code, Prior Incorrect Person Name, Prior Incorrect Gender and
Prior Incorrect Date of Birth SHOULD <span class=GramE>be</span> populated with
previously sent values by the source system whenever any of these values change
for either a subscriber or dependent record. The receiving system is
RECOMMENDED to evaluate these elements to determine the appropriate actions to
take. The sending system will typically only send the prior incorrect values
one time, in the first reporting period in which the changed is detected.</p>

<p class=MsoNormal>In the event that the source system does not store Prior
Incorrect information, the receiving system must use the data provided to
process the person changes.&nbsp; The receiver should determine, based on their
own processing, whether or not they require Prior Incorrect information for
updates to key person data.</p>

<h2><a name="_Toc151531629">4.5</a><span style='mso-bookmark:_Toc151531629'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Coverage Level for Dependents</span></h2>

<p class=MsoNormal>It is RECOMMENDED that the CoverageLevelCode be the same for
the subscriber and all dependents when the subscriber and dependent(s) have
coverage. However, when a dependent is terminated from a family unit that
remains covered, the CoverageLevel for the terminated dependent should be <span
style='color:black'>the last coverage level code of record and the start date
should be the last date of coverage</span>.&nbsp; If the prior
CoverageLevelCode is not known by the sender, a value of &quot;Not
Applicable&quot; should be sent.</p>

<p class=MsoNormal>See termination example in the Enrollment Reference Examples
document (Appendix B &#8211; Related Documents).</p>

<h2><a name="_Toc151531630">4.6</a><span style='mso-bookmark:_Toc151531630'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>COBRA Eligible; Not Enrolled</span></h2>

<p class=MsoNormal>Source systems have the legal obligation to inform the
health carrier that a terminated person may be eligible for COBRA &#8211; even
before the person has elected COBRA. This is needed for health plans to
accurately inform people of their COBRA status in a timely manner. </p>

<p class=MsoNormal>The Benefit Enrollment schema supports this requirement by
providing a COBRA Qualifying Event Code and a COBRA Qualifying Event Date on
coverage termination transactions. Source systems are RECOMMENDED to provide the
COBRA Qualifying Event Code and COBRA Qualifying Event Date. Receiving systems
are RECOMMENDED to use this information to terminate current coverage, while
still accurately recognizing the person as COBRA eligible.</p>

<h2><a name="_Toc151531631"></a><a name="_Toc49148700"></a>4.7<span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>COBRA Enrolled; Premium Not Paid</h2>

<p class=MsoNormal>Once a COBRA Eligible person has made a COBRA election, the
source system is legally obligated to send the election to the health carrier
system, regardless of whether or not the person has made their initial COBRA
premium payment. The source system MUST support this requirement by sending an
&#8220;add&#8221; enrollment transaction and including the following COBRA
elements: COBRA Status of &#8220;COBRA&#8221;, COBRA Start Date equal to the
date COBRA benefits commence, COBRA Qualifying Event Date and COBRA Qualifying
Event Code.&nbsp; If the COBRA Enrolled person has yet to make a COBRA payment,
the COBRA<span class=GramE>&nbsp; Paid</span> Through Date element will not be
available and therefore will not be sent. Receiving systems MUST interpret this
as a bona fide election.</p>

<h2><a name="_Toc151531632">4.8</a><span style='mso-bookmark:_Toc151531632'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>COBRA Enrolled; Premium Paid</span></h2>

<p class=MsoNormal>COBRA enrollees with continuing coverage will be reported
using all available COBRA information and including a current COBRA Paid <span
class=GramE>Through</span> Date. The COBRA Paid <span class=GramE>Through</span>
Date is interpreted as the date through which COBRA premiums have been paid and
thus the date through which claims may be paid. The COBRA Paid <span
class=GramE>Through</span> Date MUST be updated by normal periodic maintenance.
The receiving systems SHALL not terminate COBRA enrollments based on the COBRA
Paid <span class=GramE>Through</span> Date alone; instead the source system will
explicitly terminate COBRA enrollees with delinquent premiums once all grace
periods are exceeded.&nbsp; </p>

<h2><a name="_Toc151531633">4.9</a><span style='mso-bookmark:_Toc151531633'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Receiving System Derives Group or Policy Numbers</span></h2>

<p class=MsoNormal>The Benefit Enrollment schema supports the possibility that
the receiving system may derive group or policy numbers in whole or in part
based on information provided by the source system. The derivation by the
receiving system of these group or policy numbers is typically based on a
combination of Employment, Organization, Coverage and/or some other client
specific reporting requirements.</p>

<p class=MsoNormal>The Employment Status, Employment Organization, Benefit
Reporting Information and Elected Plan Code elements may be used individually
or in combination to support this requirement. Specific agreements between trading
partners will govern the source, use and interpretation of these elements to
meet this requirement. </p>

<p class=MsoNormal>If the sending system derives the group or policy number,
this data SHOULD be sent in the GroupNumber element.&nbsp;&nbsp; A trading
partner agreement will determine how this information is used by the receiving
system.</p>

<h2><a name="_Toc151531634">4.10</a><span style='mso-bookmark:_Toc151531634'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span>Coverage
Terminations</span></h2>

<p class=MsoNormal><span style='layout-grid-mode:line'>The RECOMMENDED approach
for communicating explicit coverage terminations is to send the subscriber with
a TransactionCode value of &#8216;Termination&#8217; and a TierCoverage EndDate
populated with the subscriber&#8217;s and/or dependent&#8217;s last date of
coverage. </span></p>

<h2><a name="_Toc151531635">4.11</a><span style='mso-bookmark:_Toc151531635'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span>Split
Family Enrollment</h2>

<p class=MsoNormal><st1:City w:st="on"><st1:place w:st="on">Split</st1:place></st1:City>
family enrollments occur in any situation where the dependent of a subscriber
is enrolled in a different benefit plan than the subscriber. &nbsp;The Benefit
Enrollment schema recommendation is twofold, depending on the coverage
scenario: <br>
<br>
1) If a subscriber and dependent(s) are enrolled with coverage in the same
carrier, but with different GroupNumbers (ie: pre/post 65), all covered family
members should be reported within the same HR-XML transaction. The Benefit
Enrollment schema supports this situation by reporting each family member with
their respective GroupNumber value and a CoverageLevelCode reflecting all
covered family members, regardless of GroupNumber variations. &nbsp; <br>
<br>
2) If a subscriber and dependents are enrolled with coverage in different
carriers, or the subscriber elects dependent only coverage, the dependent
coverage should be reported in a HR-XML transaction separate from the subscriber.
The Benefit Enrollment schema supports this situation by reporting the
dependent as a subscriber, with a &quot;Dependent-only Coverage&quot;
SubscriberTypeCode and with the OriginatingSubscriberId set to the original
subscriber's SSN (or the original subscriber's IdentificationCode value). The
receiving system should enroll the covered dependent in manner that will
maintain the claim history. <br>
<br>
Any variations to the above process should be specified in a trading partner
agreement. </p>

<h2><a name="_Toc151531636">4.12</a><span style='mso-bookmark:_Toc151531636'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span>Originating
SSN for Surviving Dependents</span></h2>

<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt;text-autospace:none'>Surviving
dependent enrollments occur when the plan rules of the sponsor provide
continued coverage for dependents in the event of the death of the originating
subscriber.&nbsp; The Benefit Enrollment schema supports this situation by reporting
the surviving dependent as a subscriber, with a &quot;Survivorship&quot;
SubscriberTypeCode and with the OriginatingSubscriberId set to the deceased
subscriber's SSN (or the original subscriber's IdentificationCode value).&nbsp;
The receiving system will enroll the surviving dependent(s) in a manner that
will maintain the claim history.&nbsp;&nbsp; Any variations to the above
process should be specified in a trading partner agreement.</p>

<h2><a name="_Toc151531637">4.13</a><span style='mso-bookmark:_Toc151531637'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span>Spending
Account Enrollments</span></h2>

<p class=MsoNormal>Enrollment information for a flexible spending account (FSA)
contains a variety of attributes.&nbsp; The schema accommodates up to four
elements (GoalAmount, PerPayPeriodAmount, YTDContributionAmount, and Frequency)
to capture FSA enrollment attributes.&nbsp; However, only the GoalAmount and
two of the other three are REQUIRED to calculate the enrollment.&nbsp; For
example, if an employee elects a $1200 GoalAmount, a $100 PerPayPeriodAmount,
and a Frequency equal to &#8220;Monthly&#8221;, then one can assume that the
YTDContributionAmount is zero.&nbsp; In another example, if the GoalAmount is
$260, the Frequency is &#8220;Weekly&#8221;, and the YTDContributionAmount is
$130, then one can assume that the PerPayPeriodAmount is $5.</p>

<h2><a name="_Ref142321993"></a><a name="OLE_LINK6"></a><a name="OLE_LINK5"></a><a
name="_Toc151531638"></a><span style='mso-bookmark:_Ref142321993'>4.14</span><span
style='mso-bookmark:_Ref142321993'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span>Healthcare Spending Accounts
(HSAs)</span></h2>

<p class=MsoNormal><span class=searchhit><span style='font-family:Arial'>A
Healthcare Spending Account</span></span> (HSA) is a tax-exempt account
established exclusively for the purpose of paying qualified medical expenses of
account beneficiaries. One condition for establishing <span class=GramE>HSA,</span>
is for the HSA beneficiary to be covered under a high-deductible health plan.
Because an HSA is always paired with a high-deductible plan and because the HSA
itself is typically maintained by a separate financial services company
(referred to in this specification as the &#8220;HSA vendor&#8221;), the
HSA-related information communicated within an enrollment between a benefits
administrator and a health plan can be relatively thin. </p>

<p class=MsoNormal>The Tier Coverage component of HR-XML&#8217;s Enrollment
schema is designed to communicate health and other tier-coverage enrollments
from a benefit administer to a health plan. In the case of an HSA program, the
high-deductible health plan enrollment is accomplished using the Tier Coverage
component. In some cases, the HSA vendor could be a &#8220;preferred&#8221; or
&#8220;default&#8221; HSA vendor with which the health plan has a pre-existing
business arrangement. In such cases, the health plan, upon receiving notice of
the employee&#8217;s election of the preferred HSA vendor, would communicate
the information to the HSA vendor necessary to set up the account. In other
cases, the selection and establishment of the HSA might take place &#8220;out
of channel&#8221; directly between the employee and the financial institution. <span
class=GramE>An</span> HSAVendor element within the Tier Coverage component
allows for the transmission information necessary to accommodate these
contingencies.</p>

<h2><a name="_Toc151531639">4.15</a><span style='mso-bookmark:_Toc151531639'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span>Dependent
Life Enrollments</span></h2>

<p class=MsoNormal>Some dependent life enrollments are only captured as they
relate to the subscriber.&nbsp; For example, one may capture the fact that a
subscriber has a dependent life plan for $10,000 but actual dependent
information may not exist.&nbsp; On the other hand, a subscriber may enroll the
dependent with explicit dependent information.&nbsp; The schema accommodates
both scenarios and examples for each appear in section 7.9.</p>

<h2><a name="_Toc151531640">4.16</a><span style='mso-bookmark:_Toc151531640'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span>Optional
Information &#8211; not known by source system</span></h2>

<p class=MsoNormal>If an optional element is not known/captured by the source
system, the corresponding tags and/or content SHOULD NOT <span class=GramE>be</span>
sent in the payload.&nbsp; </p>

<h2><a name="_Toc151531641">4.17</a><span style='mso-bookmark:_Toc151531641'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span>Required
Date Information &#8211; not known by source system</span></h2>

<p class=MsoNormal>If the source system does not store a required date, but a
&#8220;notKnown&#8221; enumeration is defined, &#8216;notKnown&#8217; SHOULD be
sent instead of a default date.&nbsp; A trading partner agreement is required
if a date is required, but the sender is not able to provide it.&nbsp; </p>

<h2><a name="_Toc151531642">4.18</a><span style='mso-bookmark:_Toc151531642'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span>Current
vs. Historical Tier Coverage</span> </h2>

<p class=MsoNormal>It is RECOMMENDED that the source system sends only the most
current TierCoverage instance for a subscriber/dependent, unless there is a
change to historical coverage data (i.e.: revised effective date). For changes
to historical coverage information, the source system SHOULD send all
TierCoverage instances from the point of change through the most current
coverage.&nbsp; Receiving systems SHOULD use the data provided to overlay
historical and current coverage, beginning with the most historical coverage
sent. The receiving system SHOULD sort all Tier Coverage instances as needed
for processing.</p>

<h2><a name="_Toc151531643">4.19</a><span style='mso-bookmark:_Toc151531643'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp; </span>Contact
Information Use</span></h2>

<p class=MsoNormal>It is RECOMMENDED that the source system sends the Use
element (business, businessDirect, personal) to describe Contact Information
whenever it is known.&nbsp; If Use information is not known, it SHOULD NOT be
sent/defaulted by the sender.&nbsp; In this case, the receiving system MUST
have business rules defined to facilitate processing of Contact Information. </p>

<h1><a name="_Toc151531644">5</a><span style='mso-bookmark:_Toc151531644'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix A - Document Version History</span></h1>

<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0
 style='margin-left:-.05in;border-collapse:collapse;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  background:#E5E5E5;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'><b>Date</b></p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border:solid windowtext 1.0pt;
  border-left:none;background:#E5E5E5;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext><b>Description</b></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2001-Oct-16</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext>Approved Recommendation by HR-XML Consortium</p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2003-Feb-26</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=prefacetext style='margin-left:0in'><span style='font-size:11.0pt'>Approved
  recommendation by HR-XML Consortium. <span style='background:white'>The
  default and targetNamespaces of all HR-XML schemas have been standardized to
  &quot;http://ns.hr-xml.org&quot;.</span> This recommendation is available as part
  of the HR-XML 2_0 architecture.</span></p>
  <p class=tabletext>&nbsp;</p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2004-Apr-05</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=prefacetext style='margin-left:0in'><span style='font-size:11.0pt'>Made
  backwards compatible changes based on implementor and benefit testing
  feedback. See overview section for details. Separated Enrollment document
  into two documents.&nbsp; The second doc contains all of the examples. </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2004-May-14</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=prefacetext style='margin-left:0in'><span style='font-size:11.0pt'>Renamed
  MailingAddress to PostalAddress and EligibilityState to EligibilityRegion.
  Changed<span class=GramE>&nbsp; UniquePayloadTrackingId</span> to an element.
  Extended coverageLevelCode and productType enumerations. Updated diagrams and
  definition tables as needed. Based on CPO feedback.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2004-May-24</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=prefacetext style='margin-left:0in'><span style='font-size:11.0pt'>Corrected
  overview section, added Enumerations table &#8211; based on TSC feedback.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2004-Jun-07</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=prefacetext style='margin-left:0in'><span style='font-size:11.0pt'>Updated
  survivorship implementation guidelines based on Benetest feedback. Added
  clarification regarding non-backwards compatible and other changes; updated
  tables to reflect multiple occurrences for ContactInfo. An optional attribute
  xml<span class=GramE>:lang</span> was added to the root element.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2004-08-02</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=prefacetext style='margin-left:0in'><span style='font-size:11.0pt'>Approved
  by Membership.</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2005-04-05</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt;text-autospace:
  none'><span style='color:black'>Schema changes:</span></p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
  margin-left:.25in;margin-bottom:.0001pt;text-indent:-.25in;text-autospace:
  none'><span style='font-size:10.0pt;font-family:Symbol;color:black'>&middot;</span><span
  style='font-size:7.0pt;font-family:"Times New Roman";color:black'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='color:black'>Changed reusable structures to complex
  types. Moved to EnrollmentTypes schema, when appropriate.</span></p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
  margin-left:.25in;margin-bottom:.0001pt;text-indent:-.25in;text-autospace:
  none'><span style='font-size:10.0pt;font-family:Symbol;color:black'>&middot;</span><span
  style='font-size:7.0pt;font-family:"Times New Roman";color:black'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='color:black'>Moved generic coverage types to
  Localizations schema.</span></p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
  margin-left:.25in;margin-bottom:.0001pt;text-indent:-.25in;text-autospace:
  none'><span style='font-size:10.0pt;font-family:Symbol;color:black'>&middot;</span><span
  style='font-size:7.0pt;font-family:"Times New Roman";color:black'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='color:black'>Moved US based coverage types to <st1:country-region
  w:st="on"><st1:place w:st="on">US</st1:place></st1:country-region> folder.</span></p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
  margin-left:.25in;margin-bottom:.0001pt;text-indent:-.25in;text-autospace:
  none'><span style='font-size:10.0pt;font-family:Symbol;color:black'>&middot;</span><span
  style='font-size:7.0pt;font-family:"Times New Roman";color:black'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='color:black'>Changed ContributionData to repeatable
  within Spending Account Coverage (bug fix).</span></p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
  margin-left:.25in;margin-bottom:.0001pt;text-indent:-.25in;text-autospace:
  none'><span style='font-size:10.0pt;font-family:Symbol;color:black'>&middot;</span><span
  style='font-size:7.0pt;font-family:"Times New Roman";color:black'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='color:black'>Added LateEntrantIndicator to USRateBased
  and USTier Coverage types.</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt;text-autospace:
  none'><span style='color:black'>Documentation:</span></p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
  margin-left:.25in;margin-bottom:.0001pt;text-indent:-.25in;text-autospace:
  none'><span style='font-size:10.0pt;font-family:Symbol;color:black'>&middot;</span><span
  style='font-size:7.0pt;font-family:"Times New Roman";color:black'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='color:black'>Corrected Split Family Enrollment
  inconsistency in section 4.11. </span></p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
  margin-left:.25in;margin-bottom:.0001pt;text-indent:-.25in;text-autospace:
  none'><span style='font-size:10.0pt;font-family:Symbol;color:black'>&middot;</span><span
  style='font-size:7.0pt;font-family:"Times New Roman";color:black'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Corrected Coverage Level for Dependents inconsistency in section 4.5</p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2005-11-18</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt;text-autospace:
  none'><span style='color:black'>Significantly revised Medicare component.</span></p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt;text-autospace:
  none'>Added a CoordinationOfBenefits component to Subscriber and Dependent.</p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt;text-autospace:
  none'>Added a CustodyInfo component to Dependent.</p>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt;text-autospace:
  none'>Removed organizationId as an attribute of Enrollment/Organization.</p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2005-11-23</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt;text-autospace:
  none'>Deprecated enumerations with special characters.</p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2006-02-28</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='margin:0in;margin-bottom:.0001pt;text-autospace:
  none'>Approved by Consortium</p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12;mso-yfti-lastrow:yes'>
  <td width=108 valign=top style='width:81.0pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=tabletext align=center style='text-align:center'>2006-08-02</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
  margin-left:.25in;text-indent:-.25in;text-autospace:none'>1.<span
  style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Gave names to certain anonymous types. This allows for better
  modularization, reuse, and handling by class generation tools.</p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
  margin-left:.25in;text-indent:-.25in;text-autospace:none'>2.<span
  style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Added &#8220;HSAVendor&#8221; element to &#8220;TierCoverage&#8221;.to
  better support enrollments in Healthcare Spending Account (HSA) programs. See
  Section 4.14, Healthcare Spending Accounts (HSAs) and Section 3.6.4,
  USTierCoverage Global Type. &nbsp;HSAVendorType extends the existing
  CarrierData data type.&nbsp; In addition to OrganizationName,
  OrganizationCode, and ContactMethod available in CarrierData, the
  HSAVendorType adds a UseDefaultAccountSponsor and a SignatureDate. The
  UseDefaultAccountSponsor is a Boolean that may be used to indicate whether
  the subscriber has elected the health plan&#8217;s default HSA vendor.
  SignatureDate indicates that the benefits administrator has obtained the
  beneficiary&#8217;s signed election of the default HSA vendor.</p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
  margin-left:.25in;text-indent:-.25in;text-autospace:none'>3.<span
  style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Added &#8220;Health Reimbursement Account&#8221; to existing
  enumerated SpendingAccountCoverage types.&nbsp; Existing enumerations were:
  FSA Health Care and FSA Dependent Care.</p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
  margin-left:.25in;text-indent:-.25in;text-autospace:none'>4.<span
  style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Added optional PlanStartDate and PlanEndDate elements under
  SpendingAccountCoverage.&nbsp; These elements are intended to be used when a
  finer-grain option to the PlanYear is required. This might be necessary to
  handle special circumstances where the plan year is not calendar-year based
  or less than a full year.</p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
  margin-left:.25in;text-indent:-.25in;text-autospace:none'>5.<span
  style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Within ContributionData, made the following changes:</p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
  margin-left:.45in;text-indent:-.25in;text-autospace:none'><span
  style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
  font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Made GoalAmount element optional (not relevant for all spending
  account coverage types)</p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
  margin-left:.45in;text-indent:-.25in;text-autospace:none'><span
  style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
  font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Added option StartDate (LocalDateType). This is the date on which
  contribution changes become effective.</p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:6.0pt;
  margin-left:.45in;text-indent:-.25in;text-autospace:none'><span
  style='font-family:Symbol'>&middot;</span><span style='font-size:7.0pt;
  font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Added optional FirstPayrollDate (LocalDateType).&nbsp; This would be
  an indication of the first payroll date on which contributions would start.</p>
  <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom:0in;
  margin-left:.25in;margin-bottom:.0001pt;text-indent:-.25in;text-autospace:
  none'>6.<span style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span>Added an optional AutoReimbursement element. This has enumerated
  values of &#8220;all&#8221;; &#8220;none&#8221;; and &#8220;byClaim&#8221;.</p>
  </td>
 </tr>
</table>

<h1><a name="_Ref68923953"></a><a name=RelatedDocuments></a><a
name="_Toc151531645"></a><a name="_Ref68923958"></a><span style='mso-bookmark:
_Ref68923953'>6</span><span style='mso-bookmark:_Ref68923953'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix B &#8211; </span>Related Documents</h1>

<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=636
 style='width:477.0pt;margin-left:-.05in;border-collapse:collapse;mso-padding-alt:
 0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;height:14.05pt'>
  <td width=150 valign=top style='width:112.5pt;border:solid windowtext 1.0pt;
  background:#E5E5E5;padding:0in 5.4pt 0in 5.4pt;height:14.05pt'>
  <p class=tabletext><b>Reference</b></p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border:solid windowtext 1.0pt;
  border-left:none;background:#E5E5E5;padding:0in 5.4pt 0in 5.4pt;height:14.05pt'>
  <p class=tabletext><b>Link</b></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1;height:14.95pt'>
  <td width=150 valign=top style='width:112.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext>Enrollment Schemas</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/Enrollment.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/Enrollment.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/EnrollmentTypes.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/EnrollmentTypes.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/Localizations.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/Localizations.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/US/USLocalizations.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/US/USLocalizations.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/US/USRateBasedCoverage.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/US/USRateBasedCoverage.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/EnrollmentUS/USSpendingAccountCoverage.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/EnrollmentUS/USSpendingAccountCoverage.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/US/USTierCoverage.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/US/USTierCoverage.xsd</a></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2;height:14.95pt'>
  <td width=150 valign=top style='width:112.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext>Enrollment Examples</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/EnrollmentReferenceExamples.html">http://ns.hr-xml.org/2_5/HR-XML-2_5/Enrollment/EnrollmentReferenceExamples.html</a></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3;height:14.95pt'>
  <td width=150 valign=top style='width:112.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext>PersonName </p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/PersonName.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/PersonName.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/PersonName.html">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/PersonName.html</a></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4;height:14.95pt'>
  <td width=150 valign=top style='width:112.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext>PostalAddress </p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/PostalAddress.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/PostalAddress.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/PostalAddress.html">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/PostalAddress.html</a></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5;height:14.95pt'>
  <td width=150 valign=top style='width:112.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext>ContactMethod </p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/ContactMethod.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/ContactMethod.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/TelcomNumber.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/TelcomNumber.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/OnlineAddress.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/OnlineAddress.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/ContactMethod.html">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/ContactMethod.html</a></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6;height:14.95pt'>
  <td width=150 valign=top style='width:112.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext>DateTimeDataTypes</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/DateTimeDataTypes.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/DateTimeDataTypes.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/DateTimeDataTypes.html">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/DateTimeDataTypes.html</a></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7;mso-yfti-lastrow:yes;height:14.95pt'>
  <td width=150 valign=top style='width:112.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext>EntityIdType</p>
  </td>
  <td width=486 valign=top style='width:364.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:14.95pt'>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/EntityIdType.xsd">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/EntityIdType.xsd</a></span></p>
  <p class=tabletext><span style='font-size:9.0pt'><a
  href="http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/EntityIdentifiers.html">http://ns.hr-xml.org/2_5/HR-XML-2_5/CPO/EntityIdentifiers.html</a></span></p>
  </td>
 </tr>
</table>

<h1 align=left style='text-align:left'><a name="_Toc520537190"></a><a
name="_Toc151531646"></a><a name="_Ref68932676"></a><a name="_Ref68932650"></a><span
style='mso-bookmark:_Toc520537190'>7</span><span style='mso-bookmark:_Toc520537190'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix </span>C - Business and Life Events</h1>

<p class=MsoNormal>This section contains the complete list of events affecting
the enrollment of a Human Resource.</p>

<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0
 style='border-collapse:collapse;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><b><span style='color:black;layout-grid-mode:line'>Type</span></b></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal style='margin-right:142.5pt'><b><span style='color:black;
  layout-grid-mode:line'>Event</span></b></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Data
  Change</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change government
  identifier</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Data
  Change</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change
  gender</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Data
  Change</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change
  name</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Enrollment
  Change</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change
  affecting self-directed health plan (medical service plan)</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Enrollment
  Change</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change
  beneficiary</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Enrollment
  Change</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change provider
  (such as PCP in health plan)</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Enrollment
  Change</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change
  retirement plan contribution/allocation</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Acquisition</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Bankruptcy</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change in
  pay frequency</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Compensation
  structure change (such as special bonus)</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Corporate
  relocation</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Divestiture</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Introduction
  of new plan or program with a special enrollment</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:15'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Job
  reclassification</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:16'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Layoff</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:17'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Location
  closure</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:18'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Merger</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:19'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Open
  enrollment</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:20'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Plan
  transfer / Carrier change</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:21'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Provider
  drops out of network (triggers mandatory change to PCP)</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:22'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Reorganization</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:23'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Special
  retirement offer</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:24'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Strike</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:25'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Organizational
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Union is
  (de)certified</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:26'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>(Non-dependent)
  family member requires care</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:27'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Adoption</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:28'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Annulment</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:29'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Birth</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:30'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change of
  address&nbsp; </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:31'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Death of
  dependent</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:32'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Death of
  employee </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:33'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Dependent
  becomes permanently disabled</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:34'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Dependent
  loses coverage</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:35'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Dependent
  moves out of area eligible for network benefits</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:36'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal Life
  Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Dependent
  moves out of coverage area</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:37'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Divorce/Dissolution
  of domestic partnership</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:38'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Emancipation
  of minor</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:39'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Employee
  becomes Medicare-eligible</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:40'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>EOI approved</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:41'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Gain/loss
  of guardianship</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:42'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Leave of
  absence &#8211; initiation</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:43'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Leave of
  absence &#8211; return</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:44'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Legal
  separation</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:45'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Long term
  disability &#8211; initiation</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:46'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Long term
  disability &#8211; return</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:47'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Marriage/Entry
  into recognized domestic partnership</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:48'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>QMCSO</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:49'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Return
  with modified duties</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:50'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Significant
  change to plan cost (allows increase FSA contributions/change plan selection)</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:51'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Spouse
  gains/loses coverage</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:52'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Personal
  Life Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Survivor
  becomes Medicare-eligible</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:53'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>TBD</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Dependent
  only coverage</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:54'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>TBD</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Reinstatement</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:55'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>TBD</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><st1:City w:st="on"><st1:place w:st="on"><span
    style='color:black;layout-grid-mode:line'>Split</span></st1:place></st1:City><span
  style='color:black;layout-grid-mode:line'> contract</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:56'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>TBD</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Surviving
  spouse</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:57'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change in
  employee-elected pay frequency</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:58'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change in
  scheduled hours</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:59'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Change in
  union</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:60'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>COLA
  adjustment </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:61'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Executive on
  loan</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:62'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>New hire </span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:63'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Promotion
  / demotion (salary does not change)</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:64'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Rehire
  (includes re-employment of retired employee -- pension consequences)</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:65'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Salary
  adjustment</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:66'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Salary
  reduction</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:67'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Termination</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:68;mso-yfti-lastrow:yes'>
  <td width=230 valign=top style='width:172.5pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Work Event</span></p>
  </td>
  <td width=384 valign=top style='width:4.0in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 1.5pt 0in 1.5pt'>
  <p class=MsoNormal><span style='color:black;layout-grid-mode:line'>Transfer</span></p>
  </td>
 </tr>
</table>

<h1 align=left style='text-align:left'><a name="_Toc151531647">8</a><span
style='mso-bookmark:_Toc151531647'><span style='font-size:7.0pt;font-family:
"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Appendix
D &#8211; Benefit Enrollment Glossary</span></h1>

<p class=MsoNormal><a name="_Toc443101791"></a><a name="_Toc467914669"></a><span
style='mso-bookmark:_Toc443101791'><b><i>Consolidated Omnibus Budget
Reconciliation Act of 1985 (COBRA)</i></b></span>: A federal law that mandates
an employer who covers over 20 employees in a health and group benefit plan to
offer employees/dependents continued health care coverage upon
termination/death/other events.</p>

<p class=MsoNormal><a name="_Toc443101793"></a><a name="_Toc467914671"></a><span
style='mso-bookmark:_Toc443101793'><b><i><span style='layout-grid-mode:line'>Coordination
of Benefits (COB)</span></i></b></span><b><i><span style='layout-grid-mode:
line'>:</span></i></b> The process of paying for health care claims of an
employee or dependent <span class=GramE>who</span> is covered under two
different employer plans.</p>

<p class=MsoNormal><b><i>Dependent:</i></b> A dependent is a person with rights
to health care coverage through their association with <i>subscriber.</i></p>

<p class=MsoNormal><b><i>Health Insurance Portability and Accountability Act of
1996 (HIPAA):</i></b> A Federal law that allows a person to immediately qualify
for comparable health insurance coverage when they change their employment
relationships. Title II, Subtitle F, of HIPAA gives Health and Human Services
the authority to mandate the use of standards for the electronic exchange of
health care data; to specify what medical and administrative code sets should
be used within those standards; and to require the use of national identification
systems for health care patients, providers, payers and employers.</p>

<p class=MsoNormal><b><i>HMO (Health Maintenance Organization): </i></b>A
managed care network of providers who perform medical services for a certain
fee. <span class=GramE>Involves co&#8209;pays, primary care physician, and
network benefits only.</span></p>

<p class=MsoNormal><b><i>Medicare:</i></b> A government program that provides
limited medical and disability benefits for retired (over age 65) and disabled
individuals</p>

<p class=normalds><b><i><span style='font-family:Arial'>Medicaid: </span></i></b><span
style='font-family:Arial'>A government program that provides health insurance
for individuals with low incomes.</span></p>

<p class=MsoNormal><b><i>Payer:</i></b> In health care, an entity that assumes
the risk of paying for medical treatments. This can be a self-insured employer,
a health plan or an HMO.</p>

<p class=MsoNormal><span class=GramE><b><i>Plan Sponsor:</i></b> An entity that
sponsors a health plan.</span> This can be an employer, a union or some other
entity that provides health insurance to a group.</p>

<p class=MsoNormal><b><i>Point of Service (POS);</i></b> A form of managed care
in which employees can get in&#8209;network as well as out&#8209;of&#8209;network
benefits. A PCP manages in&#8209;network care only.</p>

<p class=MsoNormal><b><i>Preferred Provider Organization (PPO):</i></b> A form
of managed care in which employees choose to use network or non-network
providers when care is needed. There is no primary care physician.</p>

<p class=MsoNormal><a name="_Toc443101885"></a><a name="_Toc467914763"></a><span
style='mso-bookmark:_Toc443101885'><b><i>Primary Care Physician (PCP)</i></b></span><b><i>:
</i></b>A doctor who manages all of an employee&#8217;s care, including
treatments of routine illnesses and referral to specialists/hospital. <span
class=GramE>Also called a gatekeeper.</span></p>

<p class=MsoNormal><a name="_Toc443101889"></a><a name="_Toc467914767"></a><span
style='mso-bookmark:_Toc443101889'><b><i>Qualified Medical Child Support Order
(QMCSO)</i></b></span><b><i>: </i></b>A court order, judgment, or decree that
directs the group health plan to provide health benefit coverage for a child of
an employee.</p>

<p class=MsoNormal><b><i>Self-Insured:</i></b> An individual or organization
that assumes the financial risk of paying for health care.</p>

<p class=MsoNormal><b><i>Subscriber:</i></b> A subscriber is a person with
rights to health care coverage through their association with a <i>plan
sponsor.</i></p>

<p class=MsoNormal><b><i>Third Party Administrator (TPA):</i></b> An entity
that processes health care claims and performs related business functions for a
health plan.</p>

<h1><a name="_Toc151531648">9</a><span style='mso-bookmark:_Toc151531648'><span
style='font-size:7.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>Appendix E &#8211; Component Enumerations</span></h1>

<p class=MsoNormal>The following table lists the enumerations for all elements
and attributes of the Enrollment schema. The elements are listed in black upper
case and the attributes are in red lower case. Please refer to section 3 Schema
Design for component definitions and content models. </p>

<table class=MsoNormalTable border=1 cellpadding=0 width="98%"
 style='width:98.42%;mso-cellspacing:1.5pt;mso-padding-alt:0in 0in 0in 0in'>
 <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:8.0pt;font-family:Verdana'>Component Name</span></b></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:8.0pt;font-family:Verdana'>Enumerations</span></b></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:8.0pt;font-family:Verdana'>Extensible</span></b></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:1'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>AccountType</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Checking, Savings</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:2'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>ActionCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Add, Change, Replace</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:3'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>AutoReimbursementIndicator</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>all, none, byClaim</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:4'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>COBRAStatus</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>COBRA, non-COBRA</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:5'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>contributor</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Employer, Employee</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:6'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>CoveredEntity</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Self, Spouse, Common Law Spouse, Dependent, Child</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:7'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>CoverageLevelCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Children Only, Dependents Only, Employee and Children, Employee
  and Five or More Dependents, Employee and Four or More Dependents, Employee
  and One Dependent, Employee and One or More Dependents, Employee and Spouse,
  Employee and Three Dependents, Employee and Three or More Dependents,
  Employee and Two Dependents, Employee and Two or More Dependents, Employee
  Only, Family, Individual, Not Applicable, Spouse and Children, Spouse Only,
  Two Party, Employee and Domestic Partner, Domestic Partner and Children,
  Domestic Partner Only, Employee and Spouse or Domestic Partner, Child or
  Children of a Domestic Partner</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>Yes</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:8'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>CoverageLevelType</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Salary, YearsOfService, Fixed</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:9'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>DisabilityType</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Short Term Disability, Long Term Disability, Permanent or Total
  Disability, No Disability</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:10'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>EEOCCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>American Indian or Alaskan Native, Asian or Pacific Islander,
  Black, Black (Non-Hispanic), Caucasian, Hispanic, Not Provided, White
  (Non-Hispanic)</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>EmploymentLevelCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Full Time, Part Time</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:12'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>EmploymentStatusCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Active Foreign Military, Active Domestic Military, Active, Leave
  of Absence, Short Term Disability, Long Term Disability, Retired, Terminated</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:13'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>EntityRole</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Plan Sponsor, Insurer, Broker or Sales Office, First Party
  Administrator, Second Party Administrator, Third Party Administrator, Other
  Affiliate</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:14'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>idCardType</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Dental Insurance, Health Insurance, Prescription Drug Service
  Insurance</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:15'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>inheritanceType</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Percentage, MonetaryAmount</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:16'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>LanguageData@<span
  style='color:red'>use</span></span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Native Language, Reading Language, Speaking Language</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:17'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>LanguageUsage</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Written, Spoken</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:18'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>MaritalStatusCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Divorced, Legally Separated, Married, Registered Domestic Partner,
  Separated, Single, Unmarried, Unreported, Widowed</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:19'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Product</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Life Insurance, Accidental Death and Dismemberment Insurance,
  Long-Term Disability Insurance, Short-Term Disability Insurance</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>Yes</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:20'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>ProductType</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Not Applicable, Supplemental, Basic, Group</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>Yes</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:21'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>providerIdQualifier</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Social Security Number, Federal Taxpayer Identification Number,
  HCFA National Provider Identifier, Mutually Defined</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:22'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>providerType</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Obstetrics and Gynecology Facility, Doctor of Optometry, Primary
  Care Provider, Pharmacy, Dentist, Managed Care Organization</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:23'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>providerTypeQualifier</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Person, Non Person Entity</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:24'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>ProviderChangeReason</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Appointment Times Not Met in a Timely Manner, Current Customer
  Information File in Error, Dissatisfaction with Medical Care/Services
  Rendered, Dissatisfaction with Office Staff, Dissatisfaction with Physician's
  Referral Policy, Dissatisfied with Office Hours, Inconvenient Office
  Location, Less Respect/Attention/Time Given Than to Other Patients, No Reason
  Given, Patient Moved to a New Location, Plan Change, Unable to Scheduled
  Appointments in a Timely Manner, Voluntary Withdrawal, Dissatisfaction with
  Medical Care or Services Rendered, Dissatisfaction with Physician Referral
  Policy, Less Respect ir Attention or Time Given Than to Other Patients</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:25'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>ProviderRelationshipCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Established Patient, Not Established Patient, Not Known</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:26'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>QualifyingEventCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Bankruptcy of a Retired Employee, Death, Divorce, Ineligible
  Child, Medicare, Reduction of work hours, Separation, Termination of
  Employment</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:27'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>Relationship</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Adopted Child, Brother or Sister, Brother-in-Law or
  Sister-in-Law, Child, Collateral Dependent, Court Appointed Guardian, Cousin,
  Dependent of a Minor Dependent, Ex-Spouse, Father, Father or Mother,
  Father-in-Law or Mother-in-Law, Foster Child, Grandfather or Grandmother,
  Grandson or Granddaughter, Guardian, Life Partner, Mother, Nephew or Niece,
  Self, Son-in-Law or Daughter-in-Law, Sponsored Dependent, Spouse, Stepfather,
  Stepmother, Stepson or Stepdaughter, Uncle or Aunt, Ward</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:28'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>relationshipCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Adopted Child, Brother or Sister, Brother-in-Law or Sister-in-Law,
  Child, Collateral Dependent, Court Appointed Guardian, Cousin, Dependent of a
  Minor Dependent, Ex-Spouse, Father, Father or Mother, Father-in-Law or
  Mother-in-Law, Foster Child, Grandfather or Grandmother, Grandson or
  Granddaughter, Guardian, Life Partner, Mother, Nephew or Niece, Self,
  Son-in-Law or Daughter-in-Law, Sponsored Dependent, Spouse, Stepfather,
  Stepmother, Stepson or Stepdaughter, Uncle or Aunt, Ward</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:29'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>SpendingAccountCoverage
  @<span style='color:red'>type</span></span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Health Reimbursement Account, FSA Health Care, FSA Dependent
  Care</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:30'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>SubscriberTypeCode</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Employment, Survivorship, Dependent-only Coverage</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:31'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:red'>transactionType</span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>Change, Full</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:32;mso-yfti-lastrow:yes'>
  <td width=181 valign=top style='width:135.75pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana'>USTierCoverage/<span
  style='color:red'>type</span></span></p>
  </td>
  <td width=322 valign=top style='width:241.5pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal><span style='font-size:8.0pt;font-family:Verdana;
  color:green'>24 Care, Dental, Dental Capitation, Exclusive Provider Organization,
  Health, Health Maintenance Organization, Hearing, Long Term Care, Long Term
  Disability, Mail Order Drug, Major Medical, Medicare Risk, Mental Health,
  Point of Service, Preferred Provider Organization, Prescription Drug,
  Preventative Care, Short Term Disability, Utilization Review, Vision</span></p>
  </td>
  <td width=111 valign=top style='width:83.25pt;padding:.75pt .75pt .75pt .75pt'>
  <p class=MsoNormal align=center style='text-align:center'><span
  style='font-size:8.0pt;font-family:Verdana'>No</span></p>
  </td>
 </tr>
</table>

<h1><o:p>&nbsp;</o:p></h1>

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